Provider Demographics
NPI:1760578157
Name:GRAFF, ALAN F (MS, GACS)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:F
Last Name:GRAFF
Suffix:
Gender:M
Credentials:MS, GACS
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 326
Mailing Address - Street 2:
Mailing Address - City:BASS HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04653-0326
Mailing Address - Country:US
Mailing Address - Phone:207-244-5157
Mailing Address - Fax:
Practice Address - Street 1:322 MAIN ST
Practice Address - Street 2:MDI BEHAVIORAL HEALTH CENTER
Practice Address - City:BAR HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04609-1637
Practice Address - Country:US
Practice Address - Phone:207-288-8604
Practice Address - Fax:207-288-8602
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC1000101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MECC1000OtherLICENSE