Organization
GRAFTON, INC
Active
Organization
GRAFTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA LANE JR. (DIRECTOR, ACCOUNTS RECEIVABLE)
(540) 542-0200
Entity
Organization
Contact information
Practice address
801 CHILDRENS CENTER RD SW, LEESBURG, VA 20175-2545
(703) 777-3485
(703) 777-4887
Mailing address
PO BOX 2500, FINANCE, WINCHESTER, VA 22604-1700
(540) 542-0200
(540) 542-0218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SEVERAL
VA
101YP2500X
Professional Counselor
SEVERAL
VA
103G00000X
Clinical Neuropsychologist
SEVERAL
VA
103T00000X
Psychologist
SEVERAL
VA
103TC0700X
Clinical Psychologist
SEVERAL
VA
104100000X
Social Worker
SEVERAL
VA
1041C0700X
Clinical Social Worker
SEVERAL
VA
2084P0800X
Psychiatry Physician
Primary
SEVERAL
VA
2084P0804X
Child & Adolescent Psychiatry Physician
SEVERAL
VA
Other
Enumeration date
11/01/2006
Last updated
10/19/2011
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