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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ALL'WYN DALE GRAHAM, NCC LPC SAP ADC

Active Sole Proprietor

MR. ALL'WYN DALE GRAHAM, NCC LPC SAP ADC is a Professional Counselor healthcare provider located in NORMAL, Alabama. NPI 1043519903 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · NORMAL, AL

Registration Details

NPI Number
1043519903
Provider Type
Individual
Gender
Male
NPI Issued
Mar 17, 2011 (15.389891496069 yrs)
Last Updated
Dec 13, 2012
Licenses
20238 (AL)
524 (AL)
2942 (AL)
Sole Proprietor
Yes

Practice Information

Address
4011 MERIDIAN ST
NORMAL, AL, 357625312
Browse AL providers · Browse ZIP 35762
Phone
2563724751
Fax
2563725599
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.