Gaines Psychotherapy, Pllc

NPI #1679292551 in Evanston, Illinois

Provider Information

NPI Number: 1679292551
Entity Type: Organization
Organization Name: Gaines Psychotherapy, Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Aug 24, 2022
Last Updated: Feb 7, 2024

Practice Location

Address: 1021 DODGE AVE APT D
City: Evanston
State: Illinois
ZIP Code: 60202-1051
Phone: (816) 419-1189

Authorized Official

Name: DR. ARIEL KIRCH GAINES, PSYD
Title: OWNER
Phone: (816) 419-1189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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