Individual
PETER RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
179 CHICORY AVE, BELLEFONTE, PA 16823-7037
(801) 920-9054
Mailing address
179 CHICORY AVE, BELLEFONTE, PA 16823-7037
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001218
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MF001218
MARRIAGE AND FAMILY THERAPIST
PA
Enumeration date
07/15/2022
Last updated
07/15/2022
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