Individual
MS. CHERYL L. GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
200 W FRONT ST, SUITE 400A, BLOOMINGTON, IL 61701-5048
(309) 828-2860
(309) 827-2637
Mailing address
200 W FRONT ST, SUITE 400A, BLOOMINGTON, IL 61701-5048
(309) 828-2860
(309) 827-2637
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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