Individual provider · Type 1 NPI
Raiji Gaines I, PhD
Addiction (Substance Use Disorder) Counselor · Inglewood, CA
NPI number
1740657345
Active
Practice location
2030 W Imperial Hwy Suite 511
Inglewood, CA 90303
Mailing address
2930 W. Imperial Hwy Suite 511
Inglewood, CA 90303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1740657345
Raiji Gaines I, PhD's National Provider Identifier is 1740657345, issued on Aug 31, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Inglewood, CA. The record was last updated on Sep 10, 2015.