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

DR. AMANDA LEIGH GRAHAM, EDD

Active Sole Proprietor

DR. AMANDA LEIGH GRAHAM, EDD is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PENNINGTON GAP, Virginia. NPI 1336657055 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · PENNINGTON GAP, VA

Registration Details

NPI Number
1336657055
Provider Type
Individual
Gender
Female
NPI Issued
Jan 16, 2018 (8.538947214449 yrs)
Last Updated
Jan 16, 2018
Licenses
0701005028 (VA)
0710102168 (VA)
Sole Proprietor
Yes

Practice Information

Address
1453 BIG HILL RD
PENNINGTON GAP, VA, 242778133
Browse VA providers · Browse ZIP 24277
Phone
2763939771
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.