KELLIE GRAHAM PPS NPI 1376343590

NPI Information

  • NPI: 1376343590
  • Provider Name: KELLIE GRAHAM, PPS
  • Classification: Counselor - 101YS0200X
  • Specialization: School
  • Entity Type: Individual
  • Address: 1711 MISSION DR
    ANTIOCH, CA
    ZIP 94509
  • Phone: (925) 779-7435

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NPI Details

Kellie Graham, PPS is a school counselor in Antioch, CA. Kellie Graham, PPS NPI is 1376343590. The provider is registered as an individual entity type.

The provider's business location address is:

1711 MISSION DR
ANTIOCH, CA
ZIP 94509-599
Phone: (925) 779-7435

The enumeration date for this NPI number is 3/17/2025 and was last updated on 3/17/2025.

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
1101YS0200XCounselorSchoolCALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

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