# JOE RAPHAEL A PROFESSIONAL MARRIAGE & CHILD COUNSELING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851941538
- **Authorized official:** JOE RAPHAEL LMFT (PRESIDENT)
- **Authorized official phone:** (310) 779-8215

## Contact information

- **Practice address:** 5405 MOREHOUSE DR STE 120, SAN DIEGO, CA 92121-4723
- **Practice address phone:** (425) 954-5659
- **Practice address fax:** (425) 230-4884
- **Mailing address:** PO BOX 1278, LINCOLNTON, NC 28093-1278
- **Mailing address phone:** (425) 954-5659
- **Mailing address fax:** (425) 230-4884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2019
- **Last updated:** 09/16/2019