Provider Demographics
NPI:1053543751
Name:GAINES, EMILY KATHERINE (LMFT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KATHERINE
Last Name:GAINES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 E ALISAL ST
Mailing Address - Street 2:#211
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3404
Mailing Address - Country:US
Mailing Address - Phone:530-680-1874
Mailing Address - Fax:
Practice Address - Street 1:32 E ALISAL ST
Practice Address - Street 2:#211
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3404
Practice Address - Country:US
Practice Address - Phone:530-680-1874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-13
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79569106H00000X
CA63253106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist