Individual
MRS. MICHELLE LEA RAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
439 N MCLEAN BLVD STE 101, WICHITA, KS 67203-5900
(316) 263-6941
Mailing address
1999 N AMIDON AVE STE 224, WICHITA, KS 67203-2123
(316) 247-4482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCP934
KS
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LCP 934
KS
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LCP934
KS
Other
Enumeration date
07/09/2008
Last updated
07/02/2026
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