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GARY GRAFF MA LADC NPI 1902815608


NPI Information

NPI: 1902815608
Provider Name: GARY GRAFF, MA LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
51 FAIRVIEW STREET
HCRS
BRATTLEBORO, VT
ZIP 05301
Phone: (802) 254-6028
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Gary Graff, MA LADC is an addiction (substance use disorder) counselor in Brattleboro, VT with 26 years of experience. Gary Graff, MA LADC NPI is 1902815608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

51 FAIRVIEW STREET
HCRS
BRATTLEBORO, VT
ZIP 05301-629
Phone: (802) 254-6028
Fax: (802) 442-7501

The NPI 1902815608 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 6/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor000385VERMONTNo
2101YA0400XCounselorAddiction (Substance Use Disorder)151.0127032VERMONTYes
3101YA0400XCounselorAddiction (Substance Use Disorder)000385VERMONTNo
4101YM0800XCounselorMental Health000385VERMONTNo
5101YP2500XCounselorProfessional097.0072903VERMONTNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11026203MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.