Individual
ANGELIA DIANE RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
806 S PARKWAY ST, CORINTH, MS 38834-6563
(662) 536-6210
Mailing address
1203 HIGHWAY 2, CORINTH, MS 38834-8533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P-1094
MS
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1094
MS
101YM0800X
Mental Health Counselor
P-1094
MS
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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