MEDICARE: CHELSEY M GRAFF

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH61264186	WA

General Provider Information

NPI Number	:	1881177723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEY M GRAFF

Provider Business Mailing Address
First Line	:	365 DODGE RD
Second Line	:
City	:	CAMANO ISLAND
State	:	WA
Zip	:	98282-7332
Country	:	US
Telephone Number	:	360-227-5236
Fax Number	:

Provider Business Practice Location Address
First Line	:	1143 E STATE ROUTE 532
Second Line	:
City	:	CAMANO ISLAND
State	:	WA
Zip	:	98282-8833
Country	:	US
Telephone Number	:	360-227-5236
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2018
Last Update Date	:	02/19/2025

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