Organization
GAINES COUNSELING AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANETTE GAINES (LICENSED PROFESSIONAL COUNSELOR)
(404) 725-5809
Entity
Organization
Contact information
Practice address
4301 MAST HEAD WAY, CHESAPEAKE, VA 23321-3254
(404) 725-5809
Mailing address
4301 MAST HEAD WAY, CHESAPEAKE, VA 23321-3254
(404) 725-5809
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0701005533
VA
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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