Rafus-Rousell, Gidget Q.V.

Rafus-Rousell, Gidget Q.V. is an individual health care provider with primary practice located at 80 State Highway 310 Ste 1 St. Lawrence County Community, Canton NY 13617-1436. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rafus-Rousell, Gidget Q.V. can be contacted via phone (315) 386-2167.

Contact Information

Primary practice address
80 State Highway 310 Ste 1 St. Lawrence County Community Canton NY 13617-1436
Phone: (315) 386-2167
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22453 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 005006-1 New York

Profile Details

NPI number 1376827196
LBN Legal business name Rafus-Rousell, Gidget Q.V.
Credentials CASAC II
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2011
Last updated Mar 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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