Individual
MRS. SHANNON MICHELLE RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
607 CORINNE ST # A-2, HATTIESBURG, MS 39401-3831
(601) 268-8796
(601) 336-7563
Mailing address
607 CORINNE ST # A-2, HATTIESBURG, MS 39401-3831
(601) 268-8796
(601) 336-7563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1017
MS
101YP2500X
Professional Counselor
1017
MS
Other
Enumeration date
06/11/2011
Last updated
06/11/2011
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