Individual provider · Type 1 NPI
Brandon Adam Gaines, M.S.O.M, LAC
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1295759199
Active
Practice location
1454 S Crest Dr
Los Angeles, CA 90035-3312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acupuncturist | 171100000X | AC 10786 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295759199
Brandon Adam Gaines, M.S.O.M, LAC's National Provider Identifier is 1295759199, issued on Jul 26, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 15, 2018.