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Individual

MICHELE GAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1425 N EL CAMINO DR, TEMPE, AZ 85281-1424
(734) 787-5438
Mailing address
1425 N EL CAMINO DR, TEMPE, AZ 85281-1424
(734) 787-5438

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17576
AZ
101YM0800X
Mental Health Counselor
6401013592
MI

Other

Enumeration date
05/13/2021
Last updated
05/13/2021
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