Individual
DR. BRIAN EDWARD RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
12060 INDUSTRY BLVD # 1060, JACKSON, CA 95642-9310
(209) 560-9443
Mailing address
12060 INDUSTRY BLVD # 1060, JACKSON, CA 95642-9310
(209) 560-9443
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY35461
CA
Other
Enumeration date
07/28/2021
Last updated
11/30/2024
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