Provider Demographics
NPI:1750070157
Name:GRAHAM, SHANNEE JUNE (LAMFT)
Entity type:Individual
Prefix:MRS
First Name:SHANNEE
Middle Name:JUNE
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:MRS
Other - First Name:SHANNEE
Other - Middle Name:JUNE
Other - Last Name:DAVIDSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAMFT
Mailing Address - Street 1:489 W SOUTH JORDAN PKWY STE 237
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-3979
Mailing Address - Country:US
Mailing Address - Phone:385-381-0327
Mailing Address - Fax:
Practice Address - Street 1:489 W SOUTH JORDAN PKWY STE 237
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-3979
Practice Address - Country:US
Practice Address - Phone:385-381-0327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12113492-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist