Individual
MS. PHYLLIS RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CADC
Contact information
Practice address
3004 GRAND AVE # SAP, WAUKEGAN, IL 60085-2321
(847) 377-8120
Mailing address
3004 GRAND AVE # SAP, WAUKEGAN, IL 60085-2321
(847) 377-8120
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
15258
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15258
IL
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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