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Nichole Theresa Gaines
Counselor in Yucca Valley, California
NPI 1588337810

Nichole Theresa Gaines is a Counselor based in Yucca Valley, CA. Nichole Theresa Gaines practices in Yucca Valley, CA. The NPI Number for Nichole Theresa Gaines is 1588337810 and holds a License No. (California).

The current practice location address for Nichole Theresa Gaines is 58923 Business Center Dr Ste E, Yucca Valley, CA and can be reached out via phone at 760-848-8480.

Location: 58923 Business Center Dr Ste E, Yucca Valley, CA, 92284-7311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588337810
Provider Name
Nichole Theresa Gaines
Credential
Provider Entity Type
Individual
Gender
Female
Address
58923 Business Center Dr Ste E, Yucca Valley, CA, 92284-7311
Phone Number
760-848-8480
Fax Number
Provider Enumeration Date
08/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
58923 Business Center Dr Ste E
City
Yucca Valley
State
California
Zip
92284-7311
Phone Number
760-848-8480
Fax Number
person
Provider Business Mailing Address Details
Address
58923 Business Center Dr Ste E
City
Yucca Valley
State
California
Zip
92284-7311
Phone Number
760-848-8480
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
101Y00000X (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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