Provider Demographics
NPI:1407035058
Name:RAFTAS, JOANNE TERESA (MS, RPT, NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:TERESA
Last Name:RAFTAS
Suffix:
Gender:F
Credentials:MS, RPT, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1754 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-3300
Mailing Address - Country:US
Mailing Address - Phone:610-814-6263
Mailing Address - Fax:610-814-6257
Practice Address - Street 1:1754 W BROAD ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-3300
Practice Address - Country:US
Practice Address - Phone:610-814-6263
Practice Address - Fax:610-814-6257
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003018101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional