| Charissa Graham, LMFT | |
|
3307 Caldwell Blvd Ste 104, Nampa, ID 83651-6403 | |
| (208) 465-4833 | |
| Not Available |
| Full Name | Charissa Graham |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 3307 Caldwell Blvd Ste 104, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659061588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 134731 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 7171146 (Idaho) | Primary |
| Entity Name | Access Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487700589 PECOS PAC ID: 5991860413 Enrollment ID: O20090217000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Charissa Graham, LMFT 3307 Caldwell Blvd Ste 104, Nampa, ID 83651-6403 Ph: () - | Charissa Graham, LMFT 3307 Caldwell Blvd Ste 104, Nampa, ID 83651-6403 Ph: (208) 465-4833 |
Heidi Alyssa Stark, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4024 Ivy Dr, Nampa, ID 83686 Phone: 208-890-3864 | |
Dr. Damaris Ellen Conrad, PHD, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 S Lancaster Dr, Nampa, ID 83686 Phone: 208-463-6366 | |
Alicia Simpson, Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 112 12th Ave Rd, Nampa, ID 83686 Phone: 208-465-5433 Fax: 208-466-5802 | |
Rebecca White, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18272 N Wild Goose Ave, Nampa, ID 83687 Phone: 949-278-6276 | |
Ms. Gisela Woggon, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1009 W Hemingway Blvd, Nampa, ID 83651 Phone: 208-453-8915 Fax: 208-453-8937 | |
Megan Ann Daniels, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 933 N Kings Rd, Nampa, ID 83687 Phone: 208-509-8848 |