Nicole Graham is a Peer Specialist based in Newark, NJ. Nicole Graham practices in Newark, NJ. The NPI Number for Nicole Graham is 1871248948 and holds a License No. (New Jersey).
The current practice location address for Nicole Graham is 1091 Broad Street, Newark, NJ and can be reached out via phone at 973-623-0600.
Location: 1091 Broad Street, Newark, NJ, 07102-2391
Provider Profile Details
NPI Number
1871248948
Provider Name
Nicole Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1091 Broad Street, Newark, NJ, 07102-2391
Phone Number
973-623-0600
Fax Number
Provider Enumeration Date
02/17/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1091 Broad Street
City
State
Zip
07114
Phone Number
973-623-0600
Fax Number
Provider Business Mailing Address Details
Address
1091 Broad Street
City
State
Zip
07114
Phone Number
973-623-0600
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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