Individual provider · Type 1 NPI

Shakiema S.f. Raphael

Mental Health Counselor · Lake Worth, FL

NPI number 1811527880 Active

Practice location

4905 Lantana Rd
Lake Worth, FL 33463-6915

Mailing address

1402 Seminole Palms Dr
Lake Worth, FL 33463-4224

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH17689 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1811527880

Shakiema S.f. Raphael's National Provider Identifier is 1811527880, issued on Jan 18, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Worth, FL. The record was last updated on Jan 18, 2020.