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NORMAN VICTOR GRACHIS
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1124448808
Individual Registrant: NORMAN VICTOR GRACHIS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
13237 NW 173RD LANE ALACHUA, FL 32615 US
Tel: 352-215-6285 Fax: --
Tel: 352-215-6285 Fax: --
Contact information for business:
13237 NW 173RD LANE ALACHUA, FL 32615 US
Tel: (35-2) -215-6285 Fax: --
Tel: (35-2) -215-6285 Fax: --
Registration Information:
NPI: 1124448808
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | ||
| Y | 101Y00000X | Behavioral Health & Social Service Providers Counselor |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1124448808 | FL | 05 |
