Active NPIIndividual providerSole proprietor

Mr. Gregory S Graham, MS

Counselor, Addiction (Substance Use Disorder) in Fairlee, Vermont

NPI Number1295038925
Practice location
1098 Wild Hill RD, Fairlee, VT 05045-9525
Fax
—
Last updated
December 20, 2010

Gregory Scott Graham is a Counselor, Addiction (Substance Use Disorder) based in Fairlee, VT. Gregory Scott Graham practices in Fairlee, VT and has the professional credentials of MS. The NPI Number for Gregory Scott Graham is 1295038925 and holds a License No. 000090 (VT). The current practice location address for Gregory Scott Graham is 1098 Wild Hill RD, Fairlee, VT 05045-9525 and can be reached out via phone at 802-380-1026.

Provider Profile Details

NPI Number
1295038925
Provider Name
Gregory Scott Graham
Credential
MS
Provider Entity Type
Individual
Gender
Male
Address
1098 Wild Hill RD, Fairlee, VT 05045-9525
Phone Number
802-380-1026
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
December 20, 2010
Last Update Date
December 20, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1098 Wild Hill RD
Fairlee, VT 05045-9525
State
Vermont
Zip
05045-9525
Phone Number
802-380-1026
Fairlee, VT 05045Get directions →

Provider Business Mailing Address Details

Address
1098 Wild Hill RD
Fairlee, VT 05045-9525
City
Fairlee
State
VT
Zip
05045-9525
Phone Number
802-380-1026

License Information

License Number
000090
License State
VT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Gregory S Graham, MS?

The NPI number of Mr. Gregory S Graham, MS is 1295038925. It was assigned on December 20, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Gregory S Graham, MS?

Mr. Gregory S Graham, MS is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 000090.

Where does Mr. Gregory S Graham, MS practice?

The practice location is 1098 Wild Hill RD, Fairlee, VT 05045-9525. The office can be reached at 802-380-1026 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295038925 directly on the NPPES registry website.

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