Individual
DR. KEARISTEN GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
860 BOARDMAN CANFIELD RD STE 203, YOUNGSTOWN, OH 44512-4235
(330) 779-1333
Mailing address
860 BOARDMAN CANFIELD RD STE 203, YOUNGSTOWN, OH 44512-4235
(330) 779-1333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
08079
OH
Other
Enumeration date
11/04/2020
Last updated
02/21/2023
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