Graff, Gary
Graff, Gary is an individual health care provider with primary practice located at 51 Fairview Street Hcrs, Brattleboro VT 05301-6629. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Graff, Gary can be contacted via phone (802) 254-6028.Contact Information
Primary practice address
51 Fairview Street Hcrs
Brattleboro VT 05301-6629
Phone: (802) 254-6028
Fax: (802) 442-7501
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 000385 | Vermont |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000385 | Vermont |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 000385 | Vermont |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 097.0072903 | Vermont |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 151.0127032 | Vermont |
Profile Details
NPI number | 1902815608 |
---|---|
LBN Legal business name | Graff, Gary |
Credentials | MA LADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2006 |
Last updated | Jun 23rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902815608 | NPPES |
Vermont | MEDICAID | 1026203 |
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