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NICOLE WANDA GRAHAM
NPI 1790380814
Counselor - Addiction (Substance Use Disorder) in Redding, CA

Active since December 04, 2020
3648 EL PORTAL DR, REDDING, CA 96002(530) 722-1114 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Wanda Graham NPPES

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

NICOLE WANDA GRAHAM (NPI 1790380814) is an individual addiction (substance use disorder) provider in Redding, California and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1790380814
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE WANDA GRAHAM
Location Address3648 EL PORTAL DRRedding, CA 96002-3133
Mailing Address3648 El Portal DrRedding, CA 96002-3133 · (530) 722-1114
Phone(530) 722-1114
Sole ProprietorNo
Enumeration DateDecember 4, 2020
NPPES CertifiedDecember 4, 2020
✔ NPI 1790380814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3648 EL PORTAL DR, Redding, CA 96002
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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.

TAMARA L STEIN COUNSELOR CAS
Counselor (Addiction (Substance Use Disorder))
3648 EL PORTAL DR
REDDING, CA 96002
Shasta County (530) 722-1114
MARY ELIZABETH BASCHERINI CAS
Counselor (Addiction (Substance Use Disorder))
3648 EL PORTAL DR
REDDING, CA 96002
Shasta County (530) 722-1114
STEVEN LUCARELLI RAS
Counselor (Addiction (Substance Use Disorder))
3648 EL PORTAL DR
REDDING, CA 96002
Shasta County (530) 722-1114
MRS. NICOLE DENICE MARTIN RADT
Counselor (Addiction (Substance Use Disorder))
3648 EL PORTAL DR
REDDING, CA 96002
Shasta County (530) 917-3812
DENISE KAY WILSON CADC-CAS
Counselor (Addiction (Substance Use Disorder))
3648 EL PORTAL DR
REDDING, CA 96002
Shasta County (530) 722-1114
MRS. JESSICA MENDOZA
Counselor (Addiction (Substance Use Disorder))
3648 EL PORTAL DR
REDDING, CA 96002
Shasta County (530) 722-1114
SANDRA KAY WEBB CADC-CAS
Counselor (Addiction (Substance Use Disorder))
3648 EL PORTAL DR
REDDING, CA 96002
Shasta County (530) 227-1114
TOBY CRUM CADC-CAS
Counselor (Addiction (Substance Use Disorder))
3648 EL PORTAL DR
REDDING, CA 96002
Shasta County (530) 722-1114

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 Nicole Graham's NPI number?

The NPI number for Nicole Graham is 1790380814. It was assigned to this individual provider in the NPPES registry on December 4, 2020.

Where is Nicole Graham located?

Nicole Graham practices at 3648 El Portal Dr, Redding, CA 96002. The listed phone number is (530) 722-1114.

What is Nicole 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 Nicole Graham was last updated on December 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.