Individual
EVELYN MARIE RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5916 ANAHEIM AVE NE STE A, ALBUQUERQUE, NM 87113
(505) 291-6314
(505) 275-0296
Mailing address
5916 ANAHEIM AVE NE STE A, ALBUQUERQUE, NM 87113-1894
(505) 291-6314
(505) 275-0296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T-0193431
NM
101YP2500X
Professional Counselor
Primary
CCMH0221451
NM
Other
Enumeration date
12/11/2017
Last updated
10/09/2023
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