Mayes, Raeven Chanae
Mayes, Raeven Chanae is an individual health care provider with primary practice located at 184 N Ivy Ave , Monrovia CA 91016-2220. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mayes, Raeven Chanae can be contacted via phone (626) 357-0957.Contact Information
Primary practice address
184 N Ivy Ave
Monrovia CA 91016-2220
Phone: (626) 357-0957
Fax: (909) 306-5427
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 96829 | California |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 96829 | California |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 118184 | California |
Profile Details
NPI number | 1023521838 |
---|---|
LBN Legal business name | Mayes, Raeven Chanae |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2017 |
Last updated | Oct 3rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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