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
Fax: (909) 306-5427
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

Request for update

Popular Providers