Gaines, Carolyn

Gaines, Carolyn is an individual health care provider with primary practice located at 185 Suttle St , Durango CO 81303-8276. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gaines, Carolyn can be contacted via phone (970) 335-2444.

Contact Information

Primary practice address
185 Suttle St Durango CO 81303-8276
Phone: (970) 335-2444
Fax: (970) 335-2440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0012840 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0096351 New Mexico

Profile Details

NPI number 1154515807
LBN Legal business name Gaines, Carolyn
Credentials LPC, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated Apr 12th, 2017 - about 7 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 1154515807 NPPES
Colorado Other 0012840 COLORADO LPC LICENSE NUMBER
Colorado Other 0096351 COLORADO LPC LICENSE NUMBER

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