Jacqueline Renee Graham, CSW
Jacqueline Renee Graham, CSW is a Mental Health Counselor in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
Practice location Address checks out
124 S 400 E Ste 450Salt Lake City, UT 84111-2135
Phone: (801) 326-7444
Fax: (801) 783-5559
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 2089903502 (UT) |
|---|
Record details
| NPI number | 1316916059 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CSW |
| Sole proprietor | No |
| NPI enumerated | March 15, 2006 |
| Last updated in NPPES | September 27, 2010 |
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