Joseph Gaines's National Provider Identifier (NPI) Details
Joseph Gaines, LPC
NPI: 1821600123
Enumeration Date: 2020-08-18
Last updated: 2020-08-18
Sole Proprietor: YES
Status: active
Postal Address: 40 WAGON LN, CHERRY HILL, NJ
Phone: 267-438-1031
Primary Practice Address: 2101 S BROAD ST, PHILADELPHIA, NJ
Practice's phone: 215-400-8400