Individual provider · Type 1 NPI

Gidget Q.v. Rafus-Rousell, CASAC II

Mental Health Counselor · Canton, NY

NPI number 1376827196 Active

Practice location

80 State Highway 310 Ste 1, St. Lawrence County Community
Canton, NY 13617-1436

Call (315) 386-2167 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X22453 (NY)
Mental Health Counselor Primary 101YM0800X005006-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1376827196

Gidget Q.v. Rafus-Rousell, CASAC II's National Provider Identifier is 1376827196, issued on Sep 29, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canton, NY. The record was last updated on Mar 7, 2018.