Doctor Name: | CAROL LOUISE RAPER |
NPI Number: | 1053615468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. LMFT |
License Number: | LMFT |
Business Practice Address: | 29821 Colvin St Gold Beach, OR - 974440746 |
Business Phone Number: | 5412474082 |
Business Fax Number: | 5412475058 |
Mailing Address: | Po Box 746, GOLD BEACH |
State: | OR |
Postal Code: | 974440746 |
Phone Number: | 5412474082 |
Fax Number: | 5412475058 |
NPI Enumeration Date: | 12/28/2010 |
NPI Last Update Date: | 12/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LMFT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |