MEDICARE: ARIANE C RAINES MA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701004575	VA

General Provider Information

NPI Number	:	1821231010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANE C RAINES MA, LPC

Provider Business Mailing Address
First Line	:	100 CONCOURSE BLVD STE 111
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5642
Country	:	US
Telephone Number	:	804-374-9484
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CONCOURSE BLVD STE 111
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5642
Country	:	US
Telephone Number	:	804-374-9484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2009
Last Update Date	:	01/09/2024

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