Individual
JOHN PATRICK RAFAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., MFT,LPC INTERN
Contact information
Practice address
2555 SILVERTON RD NE, SALEM, OR 97301-0837
(503) 953-0310
Mailing address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
(541) 527-4347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R3449
OR
101YP2500X
Professional Counselor
Primary
C4896
OR
251S00000X
Community/Behavioral Health Agency
R3449
OR
Other
Enumeration date
08/24/2015
Last updated
04/17/2025
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