Provider Demographics
NPI:1669034096
Name:GRAFF, JEFFREY M (LPC, LAC, MS)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:M
Last Name:GRAFF
Suffix:
Gender:M
Credentials:LPC, LAC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 W DRAKE RD STE 8
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-2882
Mailing Address - Country:US
Mailing Address - Phone:970-286-7330
Mailing Address - Fax:
Practice Address - Street 1:363 W DRAKE RD STE 8
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2882
Practice Address - Country:US
Practice Address - Phone:970-286-7330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-06
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001288101YA0400X
COLPCC.0017094101YM0800X
LPC.0017510101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health