Individual
JESSICA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 PINE ST, NEW CITY, NY 10956-6236
(914) 348-3040
Mailing address
66 PINE ST, NEW CITY, NY 10956-6236
(914) 348-3040
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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