Gaines, Desiree Marie

Gaines, Desiree Marie is an individual health care provider with primary practice located at 5305 3Rd Ave S Center For Mental Health/Chief Joseph, Great Falls MT 59405-1719. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gaines, Desiree Marie can be contacted via phone (406) 761-2100.

Contact Information

Primary practice address
5305 3Rd Ave S Center For Mental Health/Chief Joseph Great Falls MT 59405-1719
Phone: (406) 761-2100
Fax: (406) 791-9629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 23991 Montana

Profile Details

NPI number 1700312865
LBN Legal business name Gaines, Desiree Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Jul 18th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700312865 NPPES
Montana Other 0MT0705113 BLUE CROSS-SHIELD OF MONTANA

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