Connor, Raelyn Jeanette

Connor, Raelyn Jeanette is an sole proprietor health care provider with primary practice located at 3200 Johnson Rd , Steubenville OH 43952-2363. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Connor, Raelyn Jeanette can be contacted via phone (740) 996-7100.

Contact Information

Primary practice address
3200 Johnson Rd Steubenville OH 43952-2363
Fax: (740) 346-0236
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.0007807.SUPV Ohio

Profile Details

NPI number 1033310297
LBN Legal business name Connor, Raelyn Jeanette
Credentials M.ED, PCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
Last updated Aug 4th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033310297 NPPES
Ohio MEDICAID 24-01

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