Provider Demographics
NPI:1447596119
Name:GRAHAM, CHRIS (DSW, LCSW)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 BELHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-6768
Mailing Address - Country:US
Mailing Address - Phone:185-582-8000
Mailing Address - Fax:185-582-8000
Practice Address - Street 1:1530 N FANT ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-4700
Practice Address - Country:US
Practice Address - Phone:185-582-8000
Practice Address - Fax:185-582-8000
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-27
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055049001041C0700X
SC102251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical