Denitra L. Gaines, MA, LPC
Counselor, Professional in Kennesaw, GA. Individual provider (NPI-1).
NPI number1346790433
StatusActive
Last updated in NPPESOct 12, 2016
Details
- NPI
- 1346790433
- Entity type
- Individual (NPI-1)
- Name
- Ms. Denitra L. Gaines
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2016
- Last updated
- Oct 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC009169 | GA | Yes |
Practice location
3114 Cherokee St NwSuite 209
Kennesaw, GA 30144-6524
Phone 770-627-3550 · Fax 678-401-8928
Mailing address
3114 Cherokee St NwSuite 209
Kennesaw, GA 30144-6524
Phone 770-627-3550 · Fax 678-401-8928
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