CRYSTAL SHAMAR GRAHAM

CONCORD, NC
NPI1952879827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2018-11-08
Last Update Date2022-03-11
Business Address
CRYSTAL SHAMAR GRAHAM LCAS-A
284 EXECUTIVE PARK DR
CONCORD, NC 28025-1831
Phone number: 704-939-1100
Mailing Address
CRYSTAL SHAMAR GRAHAM LCAS-A
2513 LA DEARA CREST LN
WINSTON SALEM, NC 27105-3074
Phone number: 336-920-1481