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Individual

ONYX RAIDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 E MAIN ST STE 103, GEORGETOWN, KY 40324-1780
(502) 709-7210
Mailing address
2847 HIKES LN APT 3BR, LOUISVILLE, KY 40218-1630

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
280850
KY

Other

Enumeration date
10/10/2025
Last updated
10/10/2025
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