Provider Demographics
NPI:1841390911
Name:GRAF, JOY L (MFT)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:L
Last Name:GRAF
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4120 CAMERON PARK DR STE 403
Mailing Address - Street 2:
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-7287
Mailing Address - Country:US
Mailing Address - Phone:530-391-1658
Mailing Address - Fax:530-676-1782
Practice Address - Street 1:4120 CAMERON PARK DR STE 403
Practice Address - Street 2:
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682
Practice Address - Country:US
Practice Address - Phone:530-391-1658
Practice Address - Fax:530-676-1782
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35527106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist