Individual
AUDRA TERIS RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
607 CORINNE ST, SUITE A2, HATTIESBURG, MS 39401-3831
(601) 268-8796
(601) 336-7563
Mailing address
607 CORINNE ST, SUITE A2, HATTIESBURG, MS 39401-3831
(601) 268-8796
(601) 336-7563
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1081
MS
Other
Enumeration date
05/12/2008
Last updated
08/12/2013
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