Provider Demographics
NPI:1700228830
Name:GRAF, LINDA (MED, LPC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:GRAF
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2322 STONE BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5590
Mailing Address - Country:US
Mailing Address - Phone:970-318-0587
Mailing Address - Fax:
Practice Address - Street 1:543 S 2ND ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-4244
Practice Address - Country:US
Practice Address - Phone:970-318-0587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC 11394101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health