Individual
KATHLEEN RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
5226 S EAST ST, SUITE A5, INDIANAPOLIS, IN 46227-1994
(317) 478-7911
Mailing address
5226 S EAST ST, SUITE A5, INDIANAPOLIS, IN 46227-1994
(317) 478-7911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002551A
IN
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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