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Individual
CAROLYN GAINES
Active
Individual
CAROLYN GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0012840
CO
101YM0800X
Mental Health Counselor
0096351
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012840
COLORADO LPC LICENSE NUMBER
CO
01
—
0096351
LICENSURE
NM
Enumeration date
09/05/2007
Last updated
04/12/2017
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