Provider Demographics
NPI:1588845325
Name:RAINWATER, JILLIAN S (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:S
Last Name:RAINWATER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 WABASH RD
Mailing Address - Street 2:BEEKMAN THERAPEUTIC RIDING CENTER
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910
Mailing Address - Country:US
Mailing Address - Phone:989-600-9880
Mailing Address - Fax:
Practice Address - Street 1:2901 WABASH RD
Practice Address - Street 2:BEEKMAN THERAPEUTIC RIDING CENTER
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-4857
Practice Address - Country:US
Practice Address - Phone:989-600-9880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional