Individual
MELISSA AUTUMN RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
201 N RIDGEWAY AVE, BLACK MOUNTAIN, NC 28711-3506
(828) 669-9798
Mailing address
201 N RIDGEWAY AVE, BLACK MOUNTAIN, NC 28711-3506
(828) 669-9798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A20664
NC
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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