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Individual

CAROLYN GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LPCC

Contact information

Practice address
185 SUTTLE ST, DURANGO, CO 81303-8276
(970) 335-2444
(970) 335-2440
Mailing address
185 SUTTLE ST, DURANGO, CO 81303-8276
(970) 335-2444
(970) 335-2440

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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