| Doctor Name: | TERRY RAIMOND |
| NPI Number: | 1568868156 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | C1400558 |
| Business Practice Address: | 504 Montclaire Ln New Cumberland, WV - 260473123 |
| Business Phone Number: | 3043879760 |
| Business Fax Number: | |
| Mailing Address: | 504 Montclaire Ln, NEW CUMBERLAND |
| State: | WV |
| Postal Code: | 260473123 |
| Phone Number: | 3043879760 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2014 |
| NPI Last Update Date: | 11/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C1400558 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |