GLORIA MAE GRAHAM

SAN DIEGO, CA
NPI1366136202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  11499)
Enumeration Date2023-06-05
Last Update Date2023-07-14
Business Address
GLORIA MAE GRAHAM SUDCC III
2535 CAMINO DEL RIO S STE 100
SAN DIEGO, CA 92108-3754
Phone number: 619-558-6102
Mailing Address
GLORIA MAE GRAHAM SUDCC III
118 14TH ST APT 47
RAMONA, CA 92065-2149
Phone number: 619-559-6102