Provider Demographics
NPI:1487346912
Name:ALAFA, RAUL
Entity type:Individual
Prefix:
First Name:RAUL
Middle Name:
Last Name:ALAFA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 E BASELINE RD STE A2
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1505
Mailing Address - Country:US
Mailing Address - Phone:480-489-3925
Mailing Address - Fax:480-275-5757
Practice Address - Street 1:2111 E BASELINE RD STE A2
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1505
Practice Address - Country:US
Practice Address - Phone:480-489-3925
Practice Address - Fax:480-275-5757
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health