ANTHONY CLINTON RAINES

LOS ANGELES, CA
NPI1932612843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-11-14
Last Update Date2017-11-14
Business Address
ANTHONY CLINTON RAINES
515 E 6TH ST
LOS ANGELES, CA 90021-1009
Phone number: 213-689-2179
Mailing Address
ANTHONY CLINTON RAINES
3440 W 84TH PL
INGLEWOOD, CA 90305-1642
Phone number: 424-222-3953