Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mandilyn Renice Graham, LCPC

Individual provider Professional Counselor · NPI 1366951709

Mandilyn Renice Graham, LCPC is a Professional Counselor in Ypsilanti, Michigan. Practices as a sole proprietor. Licensed in Illinois and Michigan.

Licensed in
IL, MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

7770 Paint Creek Dr
Ypsilanti, MI 48197-6139
Phone: (773) 301-3640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.009581 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 6401222749 (MI)

Record details

NPI number1366951709
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorYes
NPI enumeratedSeptember 28, 2017
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

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