Kelly Ann I. Graham in Fitchburg - Mental Health

Kelly Ann I. Graham - NPI 1164541561

Kelly Ann I. Graham is a Mental Health in Fitchburg, Massachusetts. Kelly Ann I. Graham practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kelly Ann I. Graham is 1164541561. The last update date is 2007-07-08.

Kelly Ann I. Graham's current location address is 545 Westminster St, Fitchburg, Massachusetts. You can contact this provider via phone number 9783450685 and fax number 9783428495. The mailing address for Kelly Ann I. Graham is 545 Westminster St, Fitchburg, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Ann I. Graham
Address 545 Westminster St, Fitchburg, Massachusetts
Phone Number 9783450685
Fax Number 9783428495
Sole Proprietor N
Credentials M.A., LMHC

NPI Number Detail

NPI Number 1164541561
Provider Enumeration Date 2007-03-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 545 Westminster St
City Fitchburg
State Massachusetts (MA)
Post Code 14204727
Phone Number 9783450685
Fax Number 9783428495

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 5124
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5124 MA ALLIED MENTAL HEALTH

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FAQs about Kelly Ann I. Graham

What is the Kelly Ann I. Graham's unique identification number?

The Kelly Ann I. Graham has been assigned the NPI (National Provider Identifier) Number 1164541561 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Kelly Ann I. Graham's physical address?

The Kelly Ann I. Graham is physically located at 545 Westminster St, in the city of Fitchburg, MA, with the postal code 14204727.

What is Kelly Ann I. Graham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kelly Ann I. Graham's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.

On what date did the Kelly Ann I. Graham receive the assignment of its 1164541561 from the Centers for Medicare & Medicaid Services?

The Kelly Ann I. Graham was issued its 1164541561 by the Centers for Medicare & Medicaid Services on 2007-03-28.

When was the information pertaining to Kelly Ann I. Graham most recently updated or revised?

The details related to Kelly Ann I. Graham, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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