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KATHRYN GRAHAM AOD COUNSELOR
NPI 1295186922
Counselor - Addiction (Substance Use Disorder) in Lakeport, CA

Active since June 23, 2016
160 S MAIN ST, LAKEPORT, CA 95453(707) 275-9905 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 22, 2020, Sep 19, 2018, Jun 23, 2016 (3 updates tracked since 2016).

About Kathryn Graham Aod Counselor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN GRAHAM AOD COUNSELOR (NPI 1295186922) is an individual addiction (substance use disorder) provider in Lakeport, California, licensed in California (7112) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1295186922
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKATHRYN GRAHAMCredential: AOD COUNSELOR
Location Address160 S MAIN STLakeport, CA 95453-5017
Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010
Phone(707) 275-9905
Sole ProprietorNo
Enumeration DateJune 23, 2016
Last NPPES UpdateJanuary 22, 20203 updates tracked since enumeration
✔ NPI 1295186922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 7112
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
160 S MAIN ST, Lakeport, CA 95453
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANTAYLAH CASTNER SUDRC
Counselor (Addiction (Substance Use Disorder))
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
MS. TANYA LOUISE LANE MHRS
Rehabilitation Practitioner
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 263-0372
KATRINA HICKEY
Counselor
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 275-0506
JALEEN WHITE
Rehabilitation Practitioner
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 275-9905
SUMMER WHITE
Day Training/Habilitation Specialist
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 263-0372
JUSTIN LOUIS
Rehabilitation Practitioner
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
STACY LITTON
Rehabilitation Practitioner
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
MICHELLE SAGEHORN REHAB SPECIALIST
Rehabilitation Practitioner
160 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Graham's NPI number?

The NPI number for Kathryn Graham is 1295186922. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Kathryn Graham located?

Kathryn Graham practices at 160 S Main St, Lakeport, CA 95453. The listed phone number is (707) 275-9905.

What is Kathryn Graham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kathryn Graham was last updated on January 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.