Provider Demographics
NPI:1508238288
Name:CAINES, CAROL
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:CAINES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CENTRAL CT # 1
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-4109
Mailing Address - Country:US
Mailing Address - Phone:978-333-2922
Mailing Address - Fax:
Practice Address - Street 1:16 CENTRAL CT # 1
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-4109
Practice Address - Country:US
Practice Address - Phone:978-333-2922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor