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Individual

CHRISTINA GAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.H.C

Contact information

Practice address
1009 MAITLAND CENTER COMMONS BLVD STE 212, MAITLAND, FL 32751-7270
(407) 636-3532
Mailing address
1159 POLK ST NW, PALM BAY, FL 32907-9027

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2473
NH
101YM0800X
Mental Health Counselor
IMH11106
FL
101YM0800X
Mental Health Counselor
Primary
MH13616
FL

Other

Enumeration date
03/17/2014
Last updated
06/06/2022
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