Individual provider · Type 1 NPI

Hayden Gaines, LPC

Professional Counselor · Prineville, OR

NPI number 1639735442 Active

Practice location

1103 NE Elm St
Prineville, OR 97754-1664

Mailing address

1555 NE 3rd St # B4-332
Prineville, OR 97754-2925

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X3210 (AL)
Professional Counselor Primary 101YP2500XC5302 (OR)

Professional Counselor: Definition to come...

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About NPI 1639735442

Hayden Gaines, LPC's National Provider Identifier is 1639735442, issued on May 16, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Prineville, OR. The record was last updated on May 16, 2019.