Provider Demographics
NPI:1851687438
Name:GRAHAM, KRISTINA M (MA, NCC, LPC)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:M
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1824 ROANE STATE HWY # 157
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-8307
Mailing Address - Country:US
Mailing Address - Phone:307-206-5211
Mailing Address - Fax:
Practice Address - Street 1:1824 ROANE STATE HWY # 157
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-8307
Practice Address - Country:US
Practice Address - Phone:307-206-5211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7544101YM0800X
WY1186101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health