Individual
MRS. JANET PATTERSON RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701001791
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174754
ANTHEM
—
01
—
2172330
CIGNA
—
01
—
M5150001
ANTHEM BCBS
—
Enumeration date
09/05/2006
Last updated
07/08/2007
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