Individual
MS. SIVAN RAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LAC
Contact information
Practice address
18806 N 91ST ST, SCOTTSDALE, AZ 85255-5375
(480) 370-9619
Mailing address
18806 N 91ST ST, SCOTTSDALE, AZ 85255-5375
(480) 370-9619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AZ
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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