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Individual

BRYAN LEE RAIFSNIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPSS, CSA

Contact information

Practice address
8015 MILLARD HWY, PIKEVILLE, KY 41501-8106
(606) 253-1640
Mailing address
8015 MILLARD HWY, PIKEVILLE, KY 41501-8106

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
KY
251S00000X
Community/Behavioral Health Agency
KY

Other

Enumeration date
04/21/2026
Last updated
05/05/2026
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