Individual
BRANDON ADAM GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.O.M, LAC
Contact information
Practice address
1454 S CREST DR, LOS ANGELES, CA 90035-3312
(818) 961-4046
Mailing address
1454 S CREST DR, LOS ANGELES, CA 90035-3312
(818) 961-4046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
171100000X
Acupuncturist
AC 10786
CA
Other
Enumeration date
07/26/2006
Last updated
02/15/2018
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