Individual
DESIREE MARIE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5305 3RD AVE S, CENTER FOR MENTAL HEALTH/CHIEF JOSEPH, GREAT FALLS, MT 59405-1719
(406) 761-2100
(406) 791-9629
Mailing address
PO BOX 3089, CENTER FOR MENTAL HEALTH, GREAT FALLS, MT 59403-3089
(406) 761-2100
(406) 791-9629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23991
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0MT0705113
BLUE CROSS-SHIELD OF MONTANA
MT
Enumeration date
05/11/2017
Last updated
07/18/2017
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