Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gloria Mae Graham, SUDCCIII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1366136202

Gloria Mae Graham, SUDCCIII is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

2535 Camino Del Rio S Ste 100
San Diego, CA 92108-3754
Phone: (619) 558-6102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 W 6th St, Corona, CA 92882-3301 — (888) 682-6282

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 11499 (CA)

Record details

NPI number1366136202
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCCIII
Sole proprietorYes
NPI enumeratedJune 5, 2023
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

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