Individual provider · Type 1 NPI
Nicole Maurey Raine, LPC, NCC, CCTP
Professional Counselor · Fayetteville, GA
NPI number
1154030542
Active
Practice location
480 Woodward Dr
Fayetteville, GA 30215-7638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC013323 (GA) |
| Mental Health Counselor | 101YM0800X | LPC013323 (GA) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1154030542
Nicole Maurey Raine, LPC, NCC, CCTP's National Provider Identifier is 1154030542, issued on Nov 15, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, GA. The record was last updated on Aug 12, 2026.