Individual
DAVID GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2030 W EL CAMINO AVE STE 260, SACRAMENTO, CA 95833-1868
(916) 877-5220
Mailing address
PO BOX 254788, SACRAMENTO, CA 95865-4788
(916) 877-5220
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
07/10/2021
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