Provider Demographics
NPI:1770640070
Name:GRAHAM, RONDA D (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RONDA
Middle Name:D
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 DULLES AVE APT 8207
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5732
Mailing Address - Country:US
Mailing Address - Phone:281-499-7368
Mailing Address - Fax:
Practice Address - Street 1:3533 TOWN CENTER BLVD S
Practice Address - Street 2:SUITE 300
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1454
Practice Address - Country:US
Practice Address - Phone:832-250-0831
Practice Address - Fax:281-313-4676
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62325101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional