Carolyn Gaines LPCC

NPI 1154515807 - Counselor - 101YM0800X

NPI Details
NPI 1154515807
Gender Female
Enumeration Date 09/05/2007
Last Updated 05/11/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
208 E APACHE ST
FARMINGTON NM, 87401-6904, US
Phone (505) 325-3549
Fax (505) 325-7803
Business Location
208 E APACHE ST
FARMINGTON NM, 87401-6904, US
Phone (505) 209-0278
Fax (505) 325-7803
Toxanomy
Taxonomy Code 101YM0800X
License State New Mexico
License Number 0096351
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According to our database, Carolyn Gaines LPCC NPI is 1154515807, taxonomy code is 101YM0800X and license number is 0096351, license state is located at New Mexico. Carolyn Gaines LPCC physically located at 208 E Apache St, Farmington NM, 87401-6904. NPI Number Carolyn Gaines LPCC has the Individual type.

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1154515807 NPI number is provided on an as is basis without warranty of any kind. 1154515807 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn Gaines LPCC are for informational purposes only.