Individual
MYSTI RACHELLE RAINWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11011 S 48TH ST, SUITE 101, PHOENIX, AZ 85044-1779
(480) 223-8263
(480) 632-9639
Mailing address
11011 S 48TH ST, SUITE 101, PHOENIX, AZ 85044-1779
(480) 223-8263
(480) 632-9639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12651
AZ
Other
Enumeration date
05/18/2007
Last updated
02/27/2019
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