Individual
MRS. DENISE J GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LADC
Contact information
Practice address
319 S 17TH ST STE 233, OMAHA, NE 68102-1919
(402) 203-6203
Mailing address
319 S 17TH ST STE 233, OMAHA, NE 68102-1919
(402) 203-6203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
847
NE
101YM0800X
Mental Health Counselor
Primary
886
NE
Other
Enumeration date
02/26/2007
Last updated
04/20/2023
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