Individual
MRS. DOMENICA V. RAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
535 TORY HILL RD, DEVON, PA 19333-1236
(610) 688-3644
Mailing address
535 TORY HILL RD, DEVON, PA 19333-1236
(610) 688-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC007253
PA
101YM0800X
Mental Health Counselor
PC007253
PA
101YP1600X
Pastoral Counselor
PC007253
PA
101YP2500X
Professional Counselor
Primary
PC007253
PA
106H00000X
Marriage & Family Therapist
PC007253
PA
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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