Individual
DAVID T GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHP
Contact information
Practice address
4809 WEBSTER ST, OMAHA, NE 68132-2423
(402) 968-6050
Mailing address
4809 WEBSTER ST, OMAHA, NE 68132-2423
(402) 968-6050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1898
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025103800
—
NE
Enumeration date
11/21/2006
Last updated
07/08/2007
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