Individual provider · Type 1 NPI

Caliece Gaines

Professional Counselor · Tempe, AZ

NPI number 1104721091 Active

Practice location

4801 S Lakeshore Dr Ste 106
Tempe, AZ 85282-7156

Mailing address

2131 E Broadway Rd Ste 1
Tempe, AZ 85282-1737

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1104721091

Caliece Gaines's National Provider Identifier is 1104721091, issued on Oct 10, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tempe, AZ. The record was last updated on Oct 12, 2026.