Provider Demographics
NPI:1164455457
Name:GRAHAM, DEBBIE (LPCC)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:STORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:130 SOUTHERN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-3223
Mailing Address - Country:US
Mailing Address - Phone:606-679-4782
Mailing Address - Fax:606-678-5296
Practice Address - Street 1:521 OLD HODGENVILLE RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:KY
Practice Address - Zip Code:42743-9493
Practice Address - Country:US
Practice Address - Phone:270-932-3226
Practice Address - Fax:270-932-5328
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY104401101YP2500X
KY462101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional