Provider Demographics
NPI:1144658816
Name:GRAFF, KRISTEN ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:ELIZABETH
Last Name:GRAFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:846 HELIOS AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2038
Mailing Address - Country:US
Mailing Address - Phone:504-701-5709
Mailing Address - Fax:504-833-0690
Practice Address - Street 1:117 FOCIS ST
Practice Address - Street 2:SUITES 202 AND 203
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3474
Practice Address - Country:US
Practice Address - Phone:504-701-5709
Practice Address - Fax:504-833-0690
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-16
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA103241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical