Provider Demographics
NPI:1396916250
Name:RAYNER, JENNY SAYLE (LPC)
Entity type:Individual
Prefix:DR
First Name:JENNY
Middle Name:SAYLE
Last Name:RAYNER
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 1:1090 AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-8142
Mailing Address - Country:US
Mailing Address - Phone:662-236-2944
Mailing Address - Fax:
Practice Address - Street 1:1090 AUGUSTA DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-8142
Practice Address - Country:US
Practice Address - Phone:662-236-2944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1322101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional