| Doctor Name: | MS. ROSALIE ELSBETH RAINE |
| NPI Number: | 1073862983 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHCA, CDP, C.HT |
| License Number: | CP60214488 |
| Business Practice Address: | 15879 15th Ave Ne Shoreline, WA - 981556335 |
| Business Phone Number: | 2069417126 |
| Business Fax Number: | |
| Mailing Address: | Po Box 55757, SHORELINE |
| State: | WA |
| Postal Code: | 981550757 |
| Phone Number: | 2069417126 |
| Fax Number: | |
| NPI Enumeration Date: | 09/06/2012 |
| NPI Last Update Date: | 09/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CP60214488 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |