MR. ALL'WYN DALE GRAHAM NCC LPC SAP ADC NPI 1043519903

NPI Information

NPI: 1043519903
Provider Name: MR. ALL'WYN DALE GRAHAM, NCC LPC SAP ADC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4011 MERIDIAN ST
NORMAL, AL
ZIP 35762
Phone: (256) 372-4751
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MR. All'wyn Dale Graham, NCC LPC SAP ADC is a professional counselor in Normal, AL. MR. All'wyn Dale Graham, NCC LPC SAP ADC NPI is 1043519903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4011 MERIDIAN ST
NORMAL, AL
ZIP 35762-312
Phone: (256) 372-4751
Fax: (256) 372-5599

The enumeration date for this NPI number is 3/17/2011 and was last updated on 12/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	20238	ALABAMA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	524	ALABAMA	No
3	101YP2500X	Counselor	Professional	2942	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2942	OTHER	ALABAMA	LPC
2	20238	OTHER		SAP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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