Provider Demographics
NPI:1487748935
Name:GRAFF, WILLIAM B (LMFT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:B
Last Name:GRAFF
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 SPRING ST.
Mailing Address - Street 2:STE. 210
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7984
Mailing Address - Country:US
Mailing Address - Phone:619-589-8971
Mailing Address - Fax:619-461-6194
Practice Address - Street 1:4215 SPRING ST.
Practice Address - Street 2:STE. 210
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7984
Practice Address - Country:US
Practice Address - Phone:619-589-8971
Practice Address - Fax:619-461-6194
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC14653106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist