Provider Demographics
NPI:1386888998
Name:GRAZIANO, ANDREA G (LMHC CASAC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:G
Last Name:GRAZIANO
Suffix:
Gender:F
Credentials:LMHC CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ONTARIO ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-2815
Mailing Address - Country:US
Mailing Address - Phone:716-433-1886
Mailing Address - Fax:
Practice Address - Street 1:33 ONTARIO ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-2815
Practice Address - Country:US
Practice Address - Phone:716-433-1886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)