Margaret Graham
Individual provider Active NPI Professional Counselor · Lakewood, OH
NPI 1780006841 · NPPES record last updated Jan 9, 2014
Key facts
- NPI
- 1780006841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E.0701150-SUPV (OH)
- Practice address
- 12509 Madison Ave
Lakewood, OH 44107-5004 - Phone
- (216) 563-1754
- Fax
- (216) 563-1783
- NPI assigned
- Jan 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0701150-SUPV | OH | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0701150-SUPV | OH | Yes |
Addresses
Primary practice location
12509 Madison Ave
Lakewood, OH 44107-5004
Mailing address
12509 Madison Ave
Lakewood, OH 44107-5004
Phone (216) 563-1754
Other providers in Lakewood, OH
- Andrew William Gordon
- Shamone R Gore Panter
- Govani Kidney Care LLC
- Nitin Govani
- Shannon Nicole Graber
- Steven Grauel
- Arielle D Gray
- Georgiana W. Gray
- Marc R Greenbaum
- Kathleen Greenberg
All providers in Lakewood, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.