Individual
RUSSELL CRAIG RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
805 W PINE ST, HATTIESBURG, MS 39401-4260
(601) 268-8796
(601) 336-7563
Mailing address
805 W PINE ST, HATTIESBURG, MS 39401-4260
(601) 268-8796
(601) 336-7563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1480
MS
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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