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Individual

MR. GARY T RAFALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
700 SOUTHRIDGE PARKWAY, SUITE 301B, CULPEPER, VA 22701
(540) 829-0036
(540) 829-6452
Mailing address
700 SOUTHRIDGE PARKWAY, SUITE 301B, CULPEPER, VA 22701
(540) 829-0036
(540) 829-6452

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
49857
VA
101YP2500X
Professional Counselor
Primary
0701002217
VA
106H00000X
Marriage & Family Therapist
0717000260
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701002217
VA LPC
VA
01
333253
ANTHEM
VA
Enumeration date
01/04/2007
Last updated
09/28/2012
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