Individual
MR. JOSEPH HERBERT GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2101 S BROAD ST, PHILADELPHIA, PA 19148-2941
(215) 400-8400
Mailing address
40 WAGON LN, CHERRY HILL, NJ 08002-1560
(267) 438-1031
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009381
PA
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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