MS. SANDRA DECOURSEY GRAHAM MS LPC NPI 1790050284

NPI Information

NPI: 1790050284
Provider Name: MS. SANDRA DECOURSEY GRAHAM, MS, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4545 N 36TH ST STE 102
PHOENIX, AZ
ZIP 85018
Phone: (928) 232-9195
Get Directions

MS. Sandra Decoursey Graham, MS, LPC is a professional counselor in Phoenix, AZ. MS. Sandra Decoursey Graham, MS, LPC NPI is 1790050284. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4545 N 36TH ST STE 102
PHOENIX, AZ
ZIP 85018-473
Phone: (928) 232-9195

The enumeration date for this NPI number is 3/15/2012 and was last updated on 3/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC-13806	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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