Search › Ohio › 171M00000X
Shannon Graham, QMHS, CMS
NPI 1215799564 · on the registry since 2024 · sole proprietor
Practice
- Address
- 12896 Grey St
Logan, OH 43138 - Phone
- (740) 592-6724
- Clinicians at this address
- 19
Additional practice sites
- 224 Columbus Rd, Athens, OH
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YA0400X
171M00000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio