Individual
MRS. MIREILLE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1204 MAIN ST, STE 512, BRANFORD, CT 06405-3787
(220) 362-3900
Mailing address
1204 MAIN ST, STE 512, BRANFORD, CT 06405-3787
(203) 362-3900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003782
CT
Other
Enumeration date
08/30/2019
Last updated
10/29/2021
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