Individual
JENNIFER ANN MARIE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, MHP
Contact information
Practice address
1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3926
(253) 441-4742
Mailing address
1202 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3926
(253) 441-4742
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LH61330804
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
WA
101YM0800X
Mental Health Counselor
MC61104696
WA
106H00000X
Marriage & Family Therapist
MG61104547
WA
Other
Enumeration date
11/27/2019
Last updated
08/30/2022
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