Individual
MR. ANDREW M GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAT, RDT-BCT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001043-1
NY
171M00000X
Case Manager/Care Coordinator
001043-1
NY
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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