Provider Demographics
NPI:1831907609
Name:DORE, GRAHAM (MA, LAPC)
Entity type:Individual
Prefix:
First Name:GRAHAM
Middle Name:
Last Name:DORE
Suffix:
Gender:
Credentials:MA, LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 S PACIFIC AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2397
Mailing Address - Country:US
Mailing Address - Phone:412-256-8116
Mailing Address - Fax:
Practice Address - Street 1:9855 RINAMAN RD
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9226
Practice Address - Country:US
Practice Address - Phone:724-799-8558
Practice Address - Fax:412-430-3383
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-24
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000743251S00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health