Individual
MS. DENITRA L. GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3114 CHEROKEE ST NW, SUITE 209, KENNESAW, GA 30144-6524
(770) 627-3550
(678) 401-8928
Mailing address
3114 CHEROKEE ST NW, SUITE 209, KENNESAW, GA 30144-6524
(770) 627-3550
(678) 401-8928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009169
GA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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