Individual
REBECCA RAINIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 BURRS LN, DIX HILLS, NY 11746-6052
(631) 253-3480
Mailing address
151 BURRS LN, DIX HILLS, NY 11746-6052
(631) 213-0288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32939
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32939
OASAS CERTIFICATE
NY
Enumeration date
12/01/2016
Last updated
01/06/2022
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