Donna Rakidzich, LPC
Counselor, Professional in Longview, TX. Individual provider (NPI-1).
NPI number1215359013
StatusActive
Last updated in NPPESNov 18, 2024
Details
- NPI
- 1215359013
- Entity type
- Individual (NPI-1)
- Name
- Donna Rakidzich
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2014
- Certification date
- Nov 18, 2024
- Last updated
- Nov 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC5631 | CO | Yes |
Practice location
1005 N Eastman Rd Ste G2Longview, TX 75601-4231
Phone 903-247-8262
Mailing address
111 Polk StLongview, TX 75603-9666
Phone 903-619-6619
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