Provider Demographics
NPI:1457191603
Name:GRAFA, AUSTEN CARROLL (MA, LPCC)
Entity type:Individual
Prefix:
First Name:AUSTEN
Middle Name:CARROLL
Last Name:GRAFA
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2771 W BAYAUD AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-2105
Mailing Address - Country:US
Mailing Address - Phone:903-821-3019
Mailing Address - Fax:
Practice Address - Street 1:2771 W BAYAUD AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-2105
Practice Address - Country:US
Practice Address - Phone:903-821-3019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-27
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0022098101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health