Provider Demographics
NPI:1629863477
Name:RAPHAEL, CLAUDIA A
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:A
Last Name:RAPHAEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BOSQUE LOOP
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87508-2231
Mailing Address - Country:US
Mailing Address - Phone:240-535-7909
Mailing Address - Fax:
Practice Address - Street 1:3600 CERRILLOS RD STE 737
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-2689
Practice Address - Country:US
Practice Address - Phone:240-535-7909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor