Provider Demographics
NPI:1356882724
Name:RAFFONE, PAULA NICOLE ZUNIGA (LMFT)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:NICOLE ZUNIGA
Last Name:RAFFONE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:RAFFONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:287 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2637
Mailing Address - Country:US
Mailing Address - Phone:203-214-9730
Mailing Address - Fax:
Practice Address - Street 1:15 S ELM ST
Practice Address - Street 2:3RD FLOOR, UNIT 3
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-4741
Practice Address - Country:US
Practice Address - Phone:203-214-9730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1878106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT01875OtherSTATE OF CONNECTICUT