Individual
MRS. ANGELA P GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBSW, LCS, CACII
Contact information
Practice address
226 MCGEE RD, ANDERSON, SC 29625
(864) 260-4168
(864) 261-7543
Mailing address
226 MCGEE RD, ANDERSON, SC 29625
(864) 260-4168
(864) 261-7543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1112303
SC
101YP2500X
Professional Counselor
Primary
3881
SC
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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