NPI 1023778982

Nicholas E Graham

Practitioner Peer Specialist Lacey, WA

Practice location

Address: 612 Woodland Square Loop SE STE 401, Lacey, WA 98503-1070
Phone: (360) 763-5828

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1023778982
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2021
Record last updated: 20 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.