Provider Demographics
NPI:1447370499
Name:GRAF, THOMAS SCOTT (RAS)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:SCOTT
Last Name:GRAF
Suffix:
Gender:M
Credentials:RAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 730
Mailing Address - Street 2:
Mailing Address - City:DUNNIGAN
Mailing Address - State:CA
Mailing Address - Zip Code:95937-0730
Mailing Address - Country:US
Mailing Address - Phone:530-666-8658
Mailing Address - Fax:530-666-8663
Practice Address - Street 1:14 N COTTONWOOD ST
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-2585
Practice Address - Country:US
Practice Address - Phone:530-666-8658
Practice Address - Fax:530-666-8663
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0503162020101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)