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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215799564

Shannon Graham, QMHS, CMS is an Addiction (Substance Use Disorder) Counselor in Logan, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

12896 Grey St
Logan, OH 43138-9638
Phone: (740) 592-6724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 224 Columbus Rd, Athens, OH 45701-1334 — (740) 592-6724

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence QMHS
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence CMS

Record details

NPI number1215799564
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHS , CMS
Sole proprietorYes
NPI enumeratedJanuary 23, 2024
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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