Organization
GAINES PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIEL KIRCH GAINES PSYD (OWNER)
(816) 419-1189
Entity
Organization
Contact information
Practice address
1021 DODGE AVE APT D, EVANSTON, IL 60202-1051
(816) 419-1189
Mailing address
1021 DODGE AVE APT D, EVANSTON, IL 60202-1051
(816) 419-1189
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
02/07/2024
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