Individual
RACHEL A GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
748 14TH AVE, LONGVIEW, WA 98632-2315
(360) 200-5419
(360) 200-6736
Mailing address
PO BOX 2394, LONGVIEW, WA 98632-8455
(360) 200-5419
(360) 200-6736
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
61229019
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61656038
WA
Other
Enumeration date
05/23/2022
Last updated
05/19/2025
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