IndividualActive
Amanda Graham, EDD
NPI 1336657055 · Addiction (Substance Use Disorder) Counselor · Pennington Gap, VA
Provider details
- NPI number
- 1336657055
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- EDD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0701005028 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1453 Big Hill Rd
Pennington Gap, VA 24277-8133
Phone: (276) 393-9771
Approximate (ZIP-level) locationGet directions
Mailing address
1453 Big Hill Rd
Pennington Gap, VA 24277-8133
Registry dates
- Enumerated
- 2018-01-16
- Last updated
- 2018-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.