Individual
GINA RACITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, LCPC, NCC
Contact information
Practice address
317 HICKMAN ST, REHOBOTH BEACH, DE 19971-1854
(302) 219-0953
Mailing address
PO BOX 533, REHOBOTH BEACH, DE 19971-0533
(302) 219-0953
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC4615
MD
103TC0700X
Clinical Psychologist
05980
MD
103TC0700X
Clinical Psychologist
Primary
B1-0011316
DE
Other
Enumeration date
08/21/2020
Last updated
07/13/2022
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