Individual
MRS. PATRICIA GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 SERGEANT PRENTISS DR STE 102, NATCHEZ, MS 39120-4791
(601) 304-5567
Mailing address
PO BOX 1465, WOODVILLE, MS 39669-1465
(601) 431-6825
(601) 888-4740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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