Mr. Antiba Graham
Mr. Antiba Graham is a Counselor in Lancaster, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
506 W Jackman StLancaster, CA 93534-2531
Phone: (661) 726-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 106710 (CA) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1730589193 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 3, 2014 |
| Last updated in NPPES | August 1, 2022 |
| Certification date | August 1, 2022 |
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