Individual provider · Type 1 NPI

Monique A. Gaines, MS, NCC, LPC-IT

Professional Counselor · Madison, WI

NPI number 1831737055 Active

Practice location

4513 Vernon Blvd Ste 100
Madison, WI 53705-4964

Call (608) 236-4460 Map

Fax (608) 236-4461

Mailing address

213 Deer Valley Rd Apt 1
Madison, WI 53713-4123

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1831737055

Monique A. Gaines, MS, NCC, LPC-IT's National Provider Identifier is 1831737055, issued on Dec 18, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Dec 18, 2019.