Evan Rafferty
Counselor, Mental Health in Setauket, NY. Individual provider (NPI-1).
NPI number1174951925
StatusActive
Last updated in NPPESOct 14, 2013
Details
- NPI
- 1174951925
- Entity type
- Individual (NPI-1)
- Name
- Evan Rafferty
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2013
- Last updated
- Oct 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
13 Thompson Hay PathSetauket, NY 11733-1317
Phone 631-751-0197
Mailing address
1394 Ackerson BlvdBay Shore, NY 11706-3848
Phone 631-398-6920
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All 14 Mental Health Counselor providers in Setauket · All 324 providers in Setauket
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