Individual
DONNA M RAFOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC 2
Contact information
Practice address
27 MATTHEWS ST, GOSHEN, NY 10924-1962
(845) 294-8009
(845) 294-1369
Mailing address
27 MATTHEWS STREET, GOSHEN, NY 10924
(845) 294-8009
(845) 294-1369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18880
NY
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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