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Individual

REBEKAH LEANNE RAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LAC

Contact information

Practice address
7556 US HIGHWAY 70, BARTLETT, TN 38133-2686
(901) 552-3497
(574) 635-9228
Mailing address
7556 US HIGHWAY 70, BARTLETT, TN 38133-2686
(901) 552-3497
(574) 635-9228

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0000463
CO
104100000X
Social Worker
954
CO
1041C0700X
Clinical Social Worker
09923987
CO
1041C0700X
Clinical Social Worker
Primary
LSW0000006961
TN

Other

Enumeration date
07/08/2013
Last updated
06/07/2021
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