person
Mr. Micon Gaines
Mental Health Counselor in Baker, Louisiana
NPI 1013363241

Micon Gaines is a Mental Health Counselor based in Baker, LA and is specialized in Mental Health. Micon Gaines practices in Baker, LA. The NPI Number for Micon Gaines is 1013363241 and holds a License No. (Louisiana).

The current practice location address for Micon Gaines is 4206 N. Morvant Pl., Baker, LA and can be reached out via phone at 225-367-5310.

Location: 4206 N. Morvant Pl., Baker, LA, 70714-4722
person
Provider Profile Details
NPI Number
1013363241
Provider Name
Micon Gaines
Credential
Provider Entity Type
Individual
Gender
Male
Address
4206 N. Morvant Pl., Baker, LA, 70714-4722
Phone Number
225-367-5310
Fax Number
Provider Enumeration Date
05/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4206 N. Morvant Pl.
City
State
Zip
70714
Phone Number
225-367-5310
Fax Number
person
Provider Business Mailing Address Details
Address
4206 N. Morvant Pl.
City
State
Zip
70714
Phone Number
225-367-5310
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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