Provider Demographics
NPI:1669820593
Name:GRAHAM, CYDNEY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:CYDNEY
Middle Name:
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21920 E QUINCY PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6814
Mailing Address - Country:US
Mailing Address - Phone:720-236-7131
Mailing Address - Fax:
Practice Address - Street 1:14707 E 2ND AVE STE 230
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8913
Practice Address - Country:US
Practice Address - Phone:303-731-3701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor