Individual
MS. MARY BARBARA RAYKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1270 VOLUNTEER PKWY, APT. G21, BRISTOL, TN 37620-4651
(423) 968-1008
Mailing address
1270 VOLUNTEER PKWY, APT. G21, BRISTOL, TN 37620-4651
(423) 968-1008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003952
VA
101YP2500X
Professional Counselor
Primary
LPC0000001591
TN
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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