person
Keaira Shatea Gaines
Mental Health Counselor in Seattle, Washington
NPI 1568966166

Keaira Shatea Gaines is a Mental Health Counselor based in Seattle, WA and is specialized in Mental Health. Keaira Shatea Gaines practices in Seattle, WA. The NPI Number for Keaira Shatea Gaines is 1568966166 and holds a License No. GAINEKS132P2 (Washington).

The current practice location address for Keaira Shatea Gaines is 2103 S Atlantic St, Seattle, WA and can be reached out via phone at 296-451-9039.

Location: 2103 S Atlantic St, Seattle, WA, 98144-3615
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Provider Profile Details
NPI Number
1568966166
Provider Name
Keaira Shatea Gaines
Credential
Provider Entity Type
Individual
Gender
Female
Address
2103 S Atlantic St, Seattle, WA, 98144-3615
Phone Number
296-451-9039
Fax Number
Provider Enumeration Date
03/20/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GAINEKS132P2 01 WA DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
2103 S Atlantic St
City
State
Zip
98144-3615
Phone Number
296-451-9039
Fax Number
person
Provider Business Mailing Address Details
Address
2103 S Atlantic St
City
State
Zip
98144-3615
Phone Number
296-451-9039
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
GAINEKS132P2 (Washington)
Definition
Definition to come...
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