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Organization
JOE RAPHAEL A PROFESSIONAL MARRIAGE & CHILD COUNSELING CORPORATION
Active
Organization
JOE RAPHAEL A PROFESSIONAL MARRIAGE & CHILD COUNSELING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE RAPHAEL LMFT (PRESIDENT)
(310) 779-8215
Entity
Organization
Contact information
Practice address
5405 MOREHOUSE DR STE 120, SAN DIEGO, CA 92121-4723
(425) 954-5659
(425) 230-4884
Mailing address
PO BOX 1278, LINCOLNTON, NC 28093-1278
(425) 954-5659
(425) 230-4884
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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