Female

Jennifer M. Graham PCLC

Mental Health Counselor in Missoula, MT(View on Map)

Full Name

Jennifer M Graham PCLC

NPI Number

1518606292

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/01/2022

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

300 W BROADWAY ST
300 W BROADWAY ST

City

Missoula
Missoula

State

MT
MT

Postal Code

59802-4126
59802-4126

Country

US
US

Telephone Number

(406) 531-4044
(406) 531-4044

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/01/2022

Provider Address

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