Healthcare Provider Details

I. General information

NPI: 1770406720
Provider Name (Legal Business Name): RAINA HELEN MCRAE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 E N ST.
NOME AK
99762
US

IV. Provider business mailing address

P.O BOX 966
NOME AK
99762-0966
US

V. Phone/Fax

Practice location:
  • Phone: 907-443-3311
  • Fax:
Mailing address:
  • Phone: 907-443-3311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: