Individual provider · Type 1 NPI

Evan Rafferty

Mental Health Counselor · Setauket, NY

NPI number 1174951925 Active

Practice location

13 Thompson Hay Path
Setauket, NY 11733-1317

Mailing address

1394 Ackerson Blvd
Bay Shore, NY 11706-3848

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174951925

Evan Rafferty's National Provider Identifier is 1174951925, issued on Oct 14, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Setauket, NY. The record was last updated on Oct 14, 2013.