BONITA A GRAHAM NPI 1720732464

NPI Information

NPI: 1720732464
Provider Name: BONITA A GRAHAM
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
616 COLONNADE DR
CHARLOTTE, NC
ZIP 28205
Phone: (704) 273-3942
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Bonita A Graham is a professional counselor in Charlotte, NC. Bonita A Graham NPI is 1720732464. 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:

616 COLONNADE DR
CHARLOTTE, NC
ZIP 28205-827
Phone: (704) 273-3942

The enumeration date for this NPI number is 2/11/2022 and was last updated on 4/7/2023.

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	101Y00000X	Counselor				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCAS-24918	NORTH CAROLINA	No
4	101YM0800X	Counselor	Mental Health			No
5	101YP2500X	Counselor	Professional	A17557	NORTH CAROLINA	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: 4/28/2024

NPI Synchronization or Removal

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