MEDICARE: MR. ALAN F GRAFF MS, GACS

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	101Y00000X	Counselor	CC1000	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CC1000	OTHER	ME	LICENSE

General Provider Information

NPI Number	:	1760578157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALAN F GRAFF MS, GACS

Provider Business Mailing Address
First Line	:	PO BOX 326
Second Line	:
City	:	BASS HARBOR
State	:	ME
Zip	:	04653-0326
Country	:	US
Telephone Number	:	207-244-5157
Fax Number	:

Provider Business Practice Location Address
First Line	:	322 MAIN ST
Second Line	:	MDI BEHAVIORAL HEALTH CENTER
City	:	BAR HARBOR
State	:	ME
Zip	:	04609-1637
Country	:	US
Telephone Number	:	207-288-8604
Fax Number	:	207-288-8602

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	03/06/2013

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