JEAN-RAPHAEL DE RAOULX LPC #2556
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1003500869- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC #2556
- Status
- Active
Contact & Location
- Address
- 100 WARREN AVE, GILLETTE, WY, 827163728
- Phone
- (307) 682-2034
Specialties & Taxonomies
Counselor, Mental Health
Primary License: WY #LPC-2556
All Addresses
MAILING
555 S MAIN ST
BUFFALO, WY, 828342114