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Individual

JUDITH G GAINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
5040 CORPORATE PLAZA DR STE 4, COLORADO SPRINGS, CO 80919-6100
(719) 439-9297
Mailing address
PO BOX 76510, COLORADO SPRINGS, CO 80970-6510
(719) 439-9297

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012735
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
81-3065331
CIGNA
CO
Enumeration date
11/12/2008
Last updated
07/02/2021
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