Provider Demographics
NPI:1326092628
Name:GRAFF, ANDREW J (LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:GRAFF
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1125
Mailing Address - Street 2:GUARDIAN ANGEL COUNSELING SERVICES LLC
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-1125
Mailing Address - Country:US
Mailing Address - Phone:312-404-1046
Mailing Address - Fax:
Practice Address - Street 1:12178 WILDFLOWER LN
Practice Address - Street 2:GUARDIAN ANGEL COUNSELING SERVICES LLC
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-7745
Practice Address - Country:US
Practice Address - Phone:779-552-6345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0088531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical