Individual
GARY GRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LADC
Contact information
Practice address
51 FAIRVIEW STREET, HCRS, BRATTLEBORO, VT 05301-6629
(802) 254-6028
(802) 442-7501
Mailing address
390 RIVER STREET, HCRS, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4560
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000385
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
000385
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151.0127032
VT
101YM0800X
Mental Health Counselor
000385
VT
101YP2500X
Professional Counselor
097.0072903
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026203
—
VT
Enumeration date
08/05/2006
Last updated
06/23/2021
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