Provider Demographics
NPI:1447483276
Name:GOINS, RAYMOND BEN (CASI)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:BEN
Last Name:GOINS
Suffix:
Gender:M
Credentials:CASI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 ZION STREET PLAZA
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95959
Mailing Address - Country:US
Mailing Address - Phone:530-265-2914
Mailing Address - Fax:530-265-2974
Practice Address - Street 1:727 ZION STREET PLAZA
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95959
Practice Address - Country:US
Practice Address - Phone:530-265-2914
Practice Address - Fax:530-265-2974
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)