Provider Demographics
NPI:1891828299
Name:RINESS, STEVEN A (MSW - CADC II)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:A
Last Name:RINESS
Suffix:
Gender:M
Credentials:MSW - CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7339 SHELBY PL
Mailing Address - Street 2:UNIT # 11
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730
Mailing Address - Country:US
Mailing Address - Phone:909-463-9905
Mailing Address - Fax:
Practice Address - Street 1:7339 SHELBY PL
Practice Address - Street 2:UNIT # 11
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730
Practice Address - Country:US
Practice Address - Phone:909-463-9905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA083695101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)