Individual
MRS. KENDI EM RAEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
13215 BROOK LANE, HAGERSTOWN, MD 21742
(301) 733-0330
Mailing address
80 LENWOOD PARK, SHIPPENSBURG, PA 17257-8841
(717) 991-8954
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP131248
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15859162
—
MD
Enumeration date
02/22/2023
Last updated
02/22/2023
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