Individual
DR. KEMBERLY LILES RAINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., L.S.A.T.P.
Contact information
Practice address
6013 MANOR HOUSE TRL, MOSELEY, VA 23120-2248
(804) 248-6964
(866) 210-2370
Mailing address
6013 MANOR HOUSE TRL, MOSELEY, VA 23120-2248
(804) 248-6964
(866) 210-2370
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000086
VA
101YP2500X
Professional Counselor
Primary
0701002907
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010023271
—
VA
Enumeration date
05/15/2007
Last updated
09/02/2022
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