Gaines, Chanell
Gaines, Chanell is an sole proprietor health care provider with primary practice located at 9752 Westphalia St , Waldorf MD 20603-5365. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gaines, Chanell can be contacted via phone (703) 627-9773.Contact Information
Primary practice address
9752 Westphalia St
Waldorf MD 20603-5365
Phone: (703) 627-9773
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PRC14169 | District of Columbia |
Profile Details
| NPI number | 1861845067 |
|---|---|
| LBN Legal business name | Gaines, Chanell |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2016 |
| Last updated | Aug 2nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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