Individual provider · Type 1 NPI

Audrey Gaines

Professional Counselor · Merrillville, IN

NPI number 1306217005 Active

Practice location

6049 Broadway
Merrillville, IN 46410-2619

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1306217005

Audrey Gaines's National Provider Identifier is 1306217005, issued on Oct 7, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Merrillville, IN. The record was last updated on Oct 7, 2015.