Michelle Rene Graham, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60234989 Issued in WA

Practice address

307 S 12TH Ave Ste 4B
Yakima, WA 98902-3137

Phone

(509) 575-8457

Fax

(509) 453-1273

NPI assigned

Sep 29, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659880987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S 12TH AVE STE 4B",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023137",
            "telephone_number": "509-575-8457",
            "fax_number": "509-453-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S 12TH AVE STE 4B",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023137",
            "telephone_number": "509-575-8457",
            "fax_number": "509-453-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MICHELLE",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60234989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace City Outreach
• Keith David Grace, MSW LSW
• Janelle Graef, LM, CPM
• Amy B Graham, ARNP
• Jonathan C. Graham, D.P.M.
• Rosa Granados, RN60538075
• Sharon M Grandi, MASSAGE THERAPIST
• Chelsea Granstrand
• Gray & Gray LLC
• Dodie Gray

• Addiction (Substance Use Disorder) Counselor in Yakima, WA
• Providers in Yakima, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.