Individual
HAYDEN GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1103 NE ELM ST, PRINEVILLE, OR 97754-1664
(541) 323-5330
Mailing address
1555 NE 3RD ST # B4-332, PRINEVILLE, OR 97754-2925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3210
AL
101YP2500X
Professional Counselor
Primary
C5302
OR
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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