Raphael E Graham Sr, - Counselor in San Fernando, CA

Raphael E Graham Sr, is a Counselor - Addiction (substance Use Disorder) based in San Fernando, California. Raphael E Graham Sr is licensed to practice in California (license number R1588251124) and his current practice location is 762 Griswold Ave, San Fernando, California. He can be reached at his office (for appointments etc.) via phone at (747) 500-9405.

NPI number for Raphael E Graham Sr is 1992598015 and his current mailing address is 13187 Bromont Ave, Sylmar, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992598015.

Contact Information

Raphael E Graham Sr,
762 Griswold Ave,
San Fernando, CA 91340-2105
(747) 500-9405
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameRaphael E Graham Sr
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location762 Griswold Ave, San Fernando, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992598015
  • Provider Enumeration Date: 05/22/2025
  • Last Update Date: 05/22/2025

Medical Identifiers

Medical identifiers for Raphael E Graham Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992598015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) R1588251124 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raphael E Graham Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Raphael E Graham Sr,
13187 Bromont Ave,
Sylmar, CA 91342-4310

Ph: (818) 356-1088
Raphael E Graham Sr,
762 Griswold Ave,
San Fernando, CA 91340-2105

Ph: (747) 500-9405

Reviews and Comments


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