Ricodaro Rainey

NPI #1083096382 in Magnolia, Arkansas

Provider Information

NPI Number: 1083096382
Entity Type: Individual
Name: Ricodaro Rainey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 23, 2015
Last Updated: Jun 23, 2015

Practice Location

Address: 301 BOUNDARY ST
City: Magnolia
State: Arkansas
ZIP Code: 71753-3305
Phone: (870) 234-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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