Doctor Name: | ANDREW J GRAFF |
NPI Number: | 1326092628 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 149-008853 |
Business Practice Address: | 12178 Wildflower Ln Guardian Angel Counseling Services Llc Huntley, IL - 601427745 |
Business Phone Number: | 7795526345 |
Business Fax Number: | |
Mailing Address: | Po Box 1125, Guardian Angel Counseling Services Llc HUNTLEY |
State: | IL |
Postal Code: | 601421125 |
Phone Number: | 3124041046 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 04/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149-008853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |