| Doctor Name: | TREVA RAE RAWLINGS |
| NPI Number: | 1831488030 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LCPC-4714 |
| Business Practice Address: | 7174 Main St. Suite A Bonners Ferry, ID - 838058740 |
| Business Phone Number: | 2082670936 |
| Business Fax Number: | 2082670936 |
| Mailing Address: | Po Box 1235, 7174 Main St. Suite A BONNERS FERRY |
| State: | ID |
| Postal Code: | 838058740 |
| Phone Number: | 2089461386 |
| Fax Number: | 2082670936 |
| NPI Enumeration Date: | 03/29/2011 |
| NPI Last Update Date: | 07/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCPC-4714 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |