| Gavin Graham, | |
|
18700 Oxnard St, Tarzana, CA 91356-1413 | |
| (310) 699-7133 | |
| Not Available |
| Full Name | Gavin Graham |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 18700 Oxnard St, Tarzana, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396479689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1474440722 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Graham, 1042 23rd St, Santa Monica, CA 90403-4520 Ph: () - | Gavin Graham, 18700 Oxnard St, Tarzana, CA 91356-1413 Ph: (310) 699-7133 |
Kristen Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 Fax: 818-345-3778 | |
Monica E Juarez, MS COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 5255 Etiwanda Ave., Suite 212, Tarzana, CA 91356 Phone: 818-201-9741 Fax: 818-708-5455 | |
Nicole Marian Johnstone, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-654-3950 | |
Gregory Paul Walsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
Sara Andrea Vides, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
Miss Shannon Mehdian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 310-422-8991 | |
Alene Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 |