Individual
JORDAN GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
16 MADISON SQ W, NEW YORK, NY 10010-1627
(917) 300-9577
Mailing address
16 MADISON SQ W, NEW YORK, NY 10010-1627
(917) 300-9577
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002394
NY
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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