| Doctor Name: | RAYMOND PATINO |
| NPI Number: | 1144420191 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CADC-II CA |
| License Number: | AII2701214 |
| Business Practice Address: | 40 W G St Suite B Los Banos, CA - 936353657 |
| Business Phone Number: | 2097106100 |
| Business Fax Number: | 2098272009 |
| Mailing Address: | Po Box 2087, MERCED |
| State: | CA |
| Postal Code: | 953440087 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2007 |
| NPI Last Update Date: | 03/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | AII2701214 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |