Individual
KRISTA LEIGH RAINWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1220 W APACHE ST, FARMINGTON, NM 87401-3886
(505) 326-6571
Mailing address
1301 E NAVAJO ST UNIT 1104, FARMINGTON, NM 87401-7321
(810) 625-4998
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401008272
MI
Other
Enumeration date
09/29/2006
Last updated
02/07/2008
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