| Doctor Name: | RAFFAELA PETER |
| NPI Number: | 1063749117 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH10007 |
| Business Practice Address: | 7481 W. Oakland Park Blvd. Ste 100 Lauderhill, FL - 333194985 |
| Business Phone Number: | 8888526672 |
| Business Fax Number: | 3058914228 |
| Mailing Address: | Po Box 400, COTOPAXI |
| State: | CO |
| Postal Code: | 812230400 |
| Phone Number: | 7192855121 |
| Fax Number: | 7192189994 |
| NPI Enumeration Date: | 11/11/2009 |
| NPI Last Update Date: | 11/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH10007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |