Individual
DR. MICHELLE VALENTINA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8602 PEACH AVE, LUBBOCK, TX 79404-7777
(806) 745-1021
Mailing address
8602 PEACH AVE, LUBBOCK, TX 79404-7777
(806) 745-1021
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
34953
TX
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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