Individual provider · Type 1 NPI

Jean-Raphael De Raoulx, LPC #2556

Mental Health Counselor · Gillette, WY

NPI number 1003500869 Active

Practice location

100 Warren Ave
Gillette, WY 82716-3728

Call (307) 682-2034 Map

Mailing address

555 S Main St
Buffalo, WY 82834-2114

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-2556 (WY)

Mental Health Counselor: Definition to come...

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About NPI 1003500869

Jean-Raphael De Raoulx, LPC #2556's National Provider Identifier is 1003500869, issued on Jun 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gillette, WY. The record was last updated on May 22, 2026.