Provider Demographics
NPI:1982771127
Name:GRAF, VANESSA (PSYD, LMFT, PC)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:
Last Name:GRAF
Suffix:
Gender:
Credentials:PSYD, LMFT, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2699 N BEACHWOOD DR # 4138
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-2339
Mailing Address - Country:US
Mailing Address - Phone:719-651-7587
Mailing Address - Fax:
Practice Address - Street 1:17041 ESCALON DR
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4042
Practice Address - Country:US
Practice Address - Phone:719-651-7587
Practice Address - Fax:719-631-2578
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO569106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist