Provider Demographics
NPI:1023152337
Name:GRAFF, LYNDSAY LEA (BS CACII)
Entity type:Individual
Prefix:
First Name:LYNDSAY
Middle Name:LEA
Last Name:GRAFF
Suffix:
Gender:F
Credentials:BS CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-2708
Mailing Address - Country:US
Mailing Address - Phone:303-882-6401
Mailing Address - Fax:303-329-9759
Practice Address - Street 1:1425 MONROE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2708
Practice Address - Country:US
Practice Address - Phone:303-882-6401
Practice Address - Fax:303-329-9759
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACB-6130101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)