Provider Demographics
NPI:1487814406
Name:RAPER, JAMES DOTSON (PHD, LPC-S)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DOTSON
Last Name:RAPER
Suffix:
Gender:M
Credentials:PHD, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7838
Mailing Address - Street 2:WAKE FOREST UNIVERSITY
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27109-7838
Mailing Address - Country:US
Mailing Address - Phone:336-758-5273
Mailing Address - Fax:336-758-1991
Practice Address - Street 1:1834 WAKE FOREST RD
Practice Address - Street 2:118 REYNOLDA HALL
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27109-6000
Practice Address - Country:US
Practice Address - Phone:336-758-5273
Practice Address - Fax:336-758-1991
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS4369101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor