Individual provider · Type 1 NPI
Donna Rakidzich, LPC
Professional Counselor · Longview, TX
NPI number
1215359013
Active
Practice location
1005 N Eastman Rd Ste G2
Longview, TX 75601-4231
Mailing address
111 Polk St
Longview, TX 75603-9666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC5631 (CO) |
Professional Counselor: Definition to come...
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About NPI 1215359013
Donna Rakidzich, LPC's National Provider Identifier is 1215359013, issued on Jan 13, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longview, TX. The record was last updated on Nov 18, 2024.