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NPI Code Detail

MEDICARE: JOHN K RAWE LPC, LCAS-A

MEDICARE: JOHN K RAWE LPC, LCAS-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor2491-ANC
2101YM0800XMental Health Counselor5338NC
3101YP2500XProfessional Counselor5338NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073609186
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN K RAWE LPC, LCAS-A
Provider Business Mailing Address
First Line : 449 E SAINT PETER ST
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-3752
Country : US
Telephone Number : 337-321-9204
Fax Number :
Provider Business Practice Location Address
First Line : 449 E SAINT PETER ST
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-3752
Country : US
Telephone Number : 337-321-9204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 05/13/2021

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Directions to “ JOHN K RAWE LPC, LCAS-A” Practice Location

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