Individual provider · Type 1 NPI
Sivan Raine, MC, LAC
Mental Health Counselor · Scottsdale, AZ
NPI number
1093458341
Active
Practice location
18806 N 91st St
Scottsdale, AZ 85255-5375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1093458341
Sivan Raine, MC, LAC's National Provider Identifier is 1093458341, issued on Apr 14, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Scottsdale, AZ. The record was last updated on Apr 14, 2022.