Provider Demographics
NPI:1669223806
Name:RAINS, JAMES DAVID III
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:RAINS
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 S CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:LAMBERTON
Mailing Address - State:MN
Mailing Address - Zip Code:56152-1133
Mailing Address - Country:US
Mailing Address - Phone:507-513-5180
Mailing Address - Fax:
Practice Address - Street 1:214 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAMBERTON
Practice Address - State:MN
Practice Address - Zip Code:56152-1376
Practice Address - Country:US
Practice Address - Phone:507-320-1312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN306433101YA0400X
MN4239106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)