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Individual
SHOKOOH K RAFATI
Active
Individual
SHOKOOH K RAFATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000153198
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132851
BLUE CROSS & BLUE SHIELD
MO
01
—
192504RAF
MERCY
MO
01
—
473891
HEALTHLINK
MO
05
—
495288300
—
MO
01
—
6295273
UBH
MO
Enumeration date
09/29/2006
Last updated
02/22/2016
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