Provider Demographics
NPI:1396196143
Name:RAFLOWSKI, KDEE (LMHC, CCPT)
Entity Type:Individual
Prefix:
First Name:KDEE
Middle Name:
Last Name:RAFLOWSKI
Suffix:
Gender:F
Credentials:LMHC, CCPT
Other - Prefix:
Other - First Name:KDEE
Other - Middle Name:AMANDA
Other - Last Name:LUKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:307 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-3323
Mailing Address - Country:US
Mailing Address - Phone:315-236-2091
Mailing Address - Fax:
Practice Address - Street 1:5 W CAYUGA ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-2031
Practice Address - Country:US
Practice Address - Phone:315-342-9255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-23
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007360101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health