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NPI Code Detail

MEDICARE: MAURISA D GAINER LPC

MEDICARE:   MAURISA D GAINER  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor37PC00796300NJ

General Provider Information

NPI Number : 1174149041
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURISA D GAINER LPC
Provider Business Mailing Address
First Line : 175 E HAWTHORN PKWY STE 235
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-1454
Country : US
Telephone Number : 847-868-3435
Fax Number : 847-859-5885
Provider Business Practice Location Address
First Line : 231 CLARKSVILLE RD STE 4A
Second Line :
City : PRINCETON JUNCTION
State : NJ
Zip : 08550-5300
Country : US
Telephone Number : 732-982-2888
Fax Number : 847-859-5885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2020
Last Update Date : 02/05/2026

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Directions to “ MAURISA D GAINER LPC” Practice Location

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