Provider Demographics
NPI:1649294893
Name:GRAFF, JANE ANN (MFT)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:ANN
Last Name:GRAFF
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:433 LIGHTHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-4031
Mailing Address - Country:US
Mailing Address - Phone:707-643-3462
Mailing Address - Fax:707-643-3462
Practice Address - Street 1:3550 WATT AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2667
Practice Address - Country:US
Practice Address - Phone:800-549-2600
Practice Address - Fax:707-643-3462
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35688106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist