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General NPI Number Information
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NPI Number | 1518978360
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Entity Type | Organization
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Legal Business Name | RHONDA GRAHAM M.ED., LPC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1613 S COLGATE ST
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City | PERRYTON
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State | TX
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Zip | 79070-4815
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Country | US
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Telephone | 480-634-0332
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Fax | 806-434-2715
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Provider Business Mailing Address
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Address Line | 1613 S COLGATE ST
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City | PERRYTON
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State | TX
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Zip | 79070-4815
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Country | US
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Telephone | 480-634-0332
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Fax | 806-434-2715
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Authorized Official
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Title or Position | PRESIDENT
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Name | RHONDA D GRAHAM
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Credential | MED, LPC
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Telephone | 806-434-0332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10505
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License Number State | TX
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