| Holly Graham, LPC | |
|
404 Main St Ste A, Cottonwood, ID 83522-5270 | |
| (208) 921-3920 | |
| Not Available |
| Full Name | Holly Graham |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 404 Main St Ste A, Cottonwood, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588258677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-8024 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Graham, LPC 1686 Meridian Rd, Craigmont, ID 83523-5056 Ph: (208) 921-3920 | Holly Graham, LPC 404 Main St Ste A, Cottonwood, ID 83522-5270 Ph: (208) 921-3920 |
Ms. Bernadette Jamie Rundhaug, MED Counselor Medicare: Medicare Enrolled Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3251 | |
Mr. Dean E Allen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Lewiston St., Orr Building, Cottonwood, ID 83522 Phone: 208-790-4418 | |
Bryan Leon Gimmeson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Radar Rd, Cottonwood, ID 83522 Phone: 208-962-3276 |