MEDICARE: MS. CAROLYN MARIE RAUFER NCC, CSAC, LPC

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	0701011340	VA

General Provider Information

NPI Number	:	1427798032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLYN MARIE RAUFER NCC, CSAC, LPC

Provider Business Mailing Address
First Line	:	46 S GLEBE RD STE 300
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1672
Country	:	US
Telephone Number	:	703-841-0703
Fax Number	:	703-243-7956

Provider Business Practice Location Address
First Line	:	46 S GLEBE RD STE 300
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22204-1672
Country	:	US
Telephone Number	:	703-841-0703
Fax Number	:	703-243-7956

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

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	03/31/2022

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