Jean-Raphael De Raoulx, PPC

NPI #1003500869 in Gillette, Wyoming

Provider Information

NPI Number: 1003500869
Entity Type: Individual
Name: Jean-Raphael De Raoulx, PPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: PPC
Enumeration Date: Jun 5, 2023
Last Updated: Jun 5, 2023

Practice Location

Address: 100 WARREN AVE
City: Gillette
State: Wyoming
ZIP Code: 82716-3728
Phone: (307) 682-2034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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