Individual
ALICIA ANN RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CDCA
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171558
OH
101YM0800X
Mental Health Counselor
QMHS
OH
Other
Enumeration date
10/23/2019
Last updated
10/17/2022
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