Individual provider · Type 1 NPI

Ismail Raheem

Mental Health Counselor · Dallas, GA

NPI number 1508454513 Active

Practice location

43 Amanda Dr
Dallas, GA 30157-6057

Call (706) 409-6280 Map

Other practice locations

  • 43 Amanda Dr, Dallas, GA 30157-6057 · (706) 409-6280

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC014810 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1508454513

Ismail Raheem's National Provider Identifier is 1508454513, issued on Jan 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, GA. The record was last updated on May 14, 2025.