MR. Micon Gaines

NPI #1013363241 in Baker, Louisiana

Provider Information

NPI Number: 1013363241
Entity Type: Individual
Name: MR. Micon Gaines
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 6, 2016
Last Updated: May 6, 2016

Practice Location

Address: 4206 N. MORVANT PL.
City: Baker
State: Louisiana
ZIP Code: 70714
Phone: (225) 367-5310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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