MEDICARE: ALEXIS RAFAEL

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
1	101YP2500X	Professional Counselor		CO

General Provider Information

NPI Number	:	1124950548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS RAFAEL

Provider Business Mailing Address
First Line	:	2164 S DELAWARE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80223-4136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 E MEXICO AVE STE 601
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-3940
Country	:	US
Telephone Number	:	719-787-7937
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ ALEXIS RAFAEL ” Practice Location

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