Individual
REACE RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
802 S FRONT ST, MANKATO, MN 56001-2401
(507) 295-4940
Mailing address
1019 S BROADWAY ST, NEW ULM, MN 56073-3410
(507) 766-9599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305203
MN
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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