Nichole Theresa Gaines
NPI #1588337810 in Yucca Valley, California
Provider Information
- NPI Number
- 1588337810
- Entity Type
- Individual
- Name
- Nichole Theresa Gaines
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Aug 2, 2021
- Last Updated
- Aug 12, 2021
Practice Location
- Address
- 58923 BUSINESS CENTER DR STE E
- City
- Yucca Valley
- State
- California
- ZIP Code
- 92284-7311
- Phone
- (760) 848-8480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
| Counselor |
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