Individual
PAULETTE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC/MHC, LLPC
Contact information
Practice address
17321 TELEGRAPH RD, DETROIT, MI 48219-3132
(313) 531-2500
Mailing address
17321 TELEGRAPH RD, DETROIT, MI 48219-3132
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011295
MI
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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