Individual
BRYAN LEE RAIFSNIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS, CSA
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
KY
172V00000X
Community Health Worker
KCCHW126050974
KY
175T00000X
Peer Specialist
Primary
—
KY
251S00000X
Community/Behavioral Health Agency
—
KY
Other
Enumeration date
04/21/2026
Last updated
05/31/2026
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