person
Chanell Gaines, LPC
Professional Counselor in Waldorf, Maryland
NPI 1861845067

Chanell Gaines is a Professional Counselor based in Waldorf, MD and is specialized in Professional. Chanell Gaines practices in Waldorf, MD and has the professional credentials of LPC. The NPI Number for Chanell Gaines is 1861845067 and holds a License No. PRC14169 (Maryland).

The current practice location address for Chanell Gaines is 9752 Westphalia St, Waldorf, MD and can be reached out via phone at 703-627-9773.

Location: 9752 Westphalia St, Waldorf, MD, 20603-5365
person
Provider Profile Details
NPI Number
1861845067
Provider Name
Chanell Gaines
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
9752 Westphalia St, Waldorf, MD, 20603-5365
Phone Number
703-627-9773
Fax Number
Provider Enumeration Date
07/22/2016
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
9752 Westphalia St
City
State
Zip
20603-5365
Phone Number
703-627-9773
Fax Number
person
Provider Business Mailing Address Details
Address
9752 Westphalia St
City
State
Zip
20603-5365
Phone Number
703-627-9773
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PRC14169 (District of Columbia)
Definition
Definition to come...
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