Gaines, Nichole Theresa

Gaines, Nichole Theresa is an individual health care provider with primary practice located at 58923 Business Center Dr Ste E , Yucca Valley CA 92284-7311. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Other Service Providers / Peer Specialist is her primary health care specialty. Gaines, Nichole Theresa can be contacted via phone (760) 848-8480.

Contact Information

Primary practice address
58923 Business Center Dr Ste E Yucca Valley CA 92284-7311
Phone: (760) 848-8480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 101Y00000X California

Profile Details

NPI number 1588337810
LBN Legal business name Gaines, Nichole Theresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2021
Last updated Aug 12th, 2021 - about 3 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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