Individual provider · Type 1 NPI

Gwendolynn Stacy Chickalusion, COUNSELOR TECHNICIAN

Addiction (Substance Use Disorder) Counselor · Homer, AK

NPI number 1235911397 Active

Practice location

1230 Ocean Dr Ste 1
Homer, AK 99603-7911

Call (907) 235-8319 Map

Fax (907) 235-8099

Mailing address

PO Box 2352
Homer, AK 99603-2352

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X5068 (AK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235911397

Gwendolynn Stacy Chickalusion, COUNSELOR TECHNICIAN's National Provider Identifier is 1235911397, issued on Oct 13, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Homer, AK. The record was last updated on Oct 13, 2023.