Provider Demographics
NPI:1013809474
Name:RAFAEL, KIARA DEL ROSARIO (BS, MA, LPCC)
Entity type:Individual
Prefix:
First Name:KIARA
Middle Name:DEL ROSARIO
Last Name:RAFAEL
Suffix:
Gender:X
Credentials:BS, MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-3710
Mailing Address - Country:US
Mailing Address - Phone:970-402-2246
Mailing Address - Fax:
Practice Address - Street 1:275 S MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6461
Practice Address - Country:US
Practice Address - Phone:970-541-4189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0023606101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health