Individual provider · Type 1 NPI

Ely Cole Raitt

Addiction (Substance Use Disorder) Counselor · Lincoln Heights, CA

NPI number 1689422677 Active

Practice location

3619 N Mission Rd
Lincoln Heights, CA 90031-3136

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XR1508070523 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1689422677

Ely Cole Raitt's National Provider Identifier is 1689422677, issued on May 7, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lincoln Heights, CA. The record was last updated on Apr 24, 2025.