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Shontae L Graham, CC,MSP
Counselor in Los Angeles, California
NPI 1780177428

Shontae L Graham is a Counselor based in Los Angeles, CA. Shontae L Graham practices in Los Angeles, CA and has the professional credentials of CC,MSP. The NPI Number for Shontae L Graham is 1780177428 and holds a License No. (California).

The current practice location address for Shontae L Graham is 4261 San Pedro Pl, Los Angeles, CA and can be reached out via phone at 310-770-6749.

Location: 4261 San Pedro Pl, Los Angeles, CA, 90011-2917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780177428
Provider Name
Shontae L Graham
Credential
CC,MSP
Provider Entity Type
Individual
Gender
Female
Address
4261 San Pedro Pl, Los Angeles, CA, 90011-2917
Phone Number
310-770-6749
Fax Number
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17773901 01 CA LA COUNTY VENDOR ID NUMBER
institution
Provider Business Practice Location Address Details
Address
4261 San Pedro Pl
City
Los Angeles
State
California
Zip
90011-2917
Phone Number
310-770-6749
Fax Number
person
Provider Business Mailing Address Details
Address
4261 San Pedro Pl
City
Los Angeles
State
California
Zip
90011-2917
Phone Number
310-770-6749
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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