Doctor Name: | MR. GARY T RAFALA |
NPI Number: | 1417004565 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 49857 |
Business Practice Address: | 700 Southridge Parkway Suite 301b Culpeper, VA - 22701 |
Business Phone Number: | 5408290036 |
Business Fax Number: | 5408296452 |
Mailing Address: | 700 Southridge Parkway, Suite 301b CULPEPER |
State: | VA |
Postal Code: | 22701 |
Phone Number: | 5408290036 |
Fax Number: | 5408296452 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 09/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 49857 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |