Individual
DR. JEANETTE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1131 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-5545
(757) 278-9823
(844) 633-2088
Mailing address
1131 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23455-5545
(757) 278-9823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005533
VA
101YP2500X
Professional Counselor
LPC005123
GA
Other
Enumeration date
04/13/2010
Last updated
11/19/2019
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