SHONTAE L GRAHAM CC, MSP
NPI 1780177428
Counselor in Los Angeles, CA

Q: What is Shontae Graham's NPI number?

The NPI number for Shontae Graham is 1780177428. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Q: What is Shontae Graham's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Shontae Graham was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since June 07, 2018

4261 SAN PEDRO PL, LOS ANGELES, CA 90011(310) 770-6749 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shontae L Graham Cc, Msp NPPES

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

SHONTAE L GRAHAM CC, MSP (NPI 1780177428) is an individual counselor in Los Angeles, California and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1780177428

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSHONTAE L GRAHAMCredential: CC, MSP

Location Address4261 SAN PEDRO PLLos Angeles, CA 90011-2917

Mailing Address4261 San Pedro Pl # 409Los Angeles, CA 90011-2917 · (310) 770-6749

Phone(310) 770-6749

Sole ProprietorNo

Enumeration DateJune 7, 2018

✔ NPI 1780177428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4261 SAN PEDRO PL, Los Angeles, CA 90011

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Other Identifiers 1

Other17773901CA · La County Vendor Id Number

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 Shontae Graham's NPI number?

The NPI number for Shontae Graham is 1780177428. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Shontae Graham located?

Shontae Graham practices at 4261 San Pedro Pl, Los Angeles, CA 90011. The listed phone number is (310) 770-6749.

What is Shontae Graham's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shontae Graham was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.