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NORMAN VICTOR GRACHIS

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1124448808

Individual Registrant:
 NORMAN VICTOR GRACHIS 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
13237 NW 173RD LANE  ALACHUA, FL 32615 US
Tel: 352-215-6285  Fax: --

Contact information for business:
13237 NW 173RD LANE  ALACHUA, FL 32615 US
Tel: (35-2) -215-6285  Fax: --

Registration Information:
NPI: 1124448808
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1124448808FL05




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