Individual
CASSANDRA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-6650
Mailing address
3111 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-6650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
26288-M
AR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/08/2026
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