Individual
MS. RAE LYNN NETTLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MFT
Contact information
Practice address
800 E ROCHAMBEAU DR STE F, WILLIAMSBURG, VA 23188-9006
(912) 656-4227
Mailing address
7505 WATERS AVE, D-5, SAVANNAH, GA 31406-3825
(912) 656-4227
(912) 257-4407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
002975
GA
106H00000X
Marriage & Family Therapist
Primary
001054
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451297230A
—
GA
Enumeration date
08/07/2006
Last updated
06/12/2024
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