Individual provider · Type 1 NPI
Octasia Nikkole Gainer, LPC
Professional Counselor · Norfolk, VA
NPI number
1104446350
Active
Practice location
121 Hicks Ave
Norfolk, VA 23502-4612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701008516 (VA) |
Professional Counselor: Definition to come...
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About NPI 1104446350
Octasia Nikkole Gainer, LPC's National Provider Identifier is 1104446350, issued on Apr 17, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Norfolk, VA. The record was last updated on Apr 17, 2020.