Individual
RAINEY ALEXANDRA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
343 E 4TH N STE 201, REXBURG, ID 83440-6006
(208) 243-9304
Mailing address
1807 W 5350 S, REXBURG, ID 83440-4415
(208) 514-5288
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-9252
ID
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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