GLORIA MAE GRAHAM SUDCC III
NPI 1366136202
Counselor - Addiction (Substance Use Disorder) in San Diego, CA
About Gloria Mae Graham Sudcc Iii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLORIA MAE GRAHAM SUDCC III (NPI 1366136202) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (11499) and active in the NPI registry since June 2023. She maintains a secondary practice location in Corona.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
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 Gloria Graham's NPI number?
The NPI number for Gloria Graham is 1366136202. It was assigned to this individual provider in the NPPES registry on June 5, 2023.
Where is Gloria Graham located?
Gloria Graham practices at 2535 Camino Del Rio S Ste 100, San Diego, CA 92108. The listed phone number is (619) 558-6102.
What is Gloria 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 Gloria Graham was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Gloria Mae Graham, SUDCC III · NPI 1366136202
Addiction (Substance Use Disorder) provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 5, 2023.
## Identity
- **NPI:** 1366136202 (Entity type: Individual)
- **Enumerated:** June 5, 2023
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 11499 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2535 CAMINO DEL RIO S STE 100, San Diego, CA 92108-3754
- **Phone:** (619) 558-6102
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366136202) · Data from the CMS NPPES public registry.