Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LAC-15636 | AZ |
N | 101YS0200X | School Counselor | 4632579 | AZ |
NPI | 1154906261 |
---|---|
Provider Name | Dr. Erin Rafferty Delee |
First Address | Tucson, AZ 85750-6179 |
Second Address | Phoenix, AZ 85015-1935 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2021 |
Last Update Date | 10/03/2021 |