Individual
NICOLE LAUREN GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1760 WORTMAN ST, CONNELLY SPRINGS, NC 28612-8073
(828) 315-1782
Mailing address
1760 WORTMAN ST, CONNELLY SPRINGS, NC 28612-8073
(828) 315-1782
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9896
NC
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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