person
Gwendolynn Stacy Chickalusion, COUNSELORTECHNICIAN
Addiction (Substance Use Disorder) Counselor in Homer, Alaska
NPI 1235911397

Gwendolynn Stacy Chickalusion is an Addiction (Substance Use Disorder) Counselor based in Homer, AK and is specialized in Addiction (Substance Use Disorder). Gwendolynn Stacy Chickalusion practices in Homer, AK and has the professional credentials of COUNSELORTECHNICIAN. The NPI Number for Gwendolynn Stacy Chickalusion is 1235911397 and holds a License No. 5068 (Alaska).

The current practice location address for Gwendolynn Stacy Chickalusion is 1230 Ocean Dr Ste 1, Homer, AK and can be reached out via phone at 907-235-8319 and via fax at 907-235-8099. You can also correspond with Gwendolynn Stacy Chickalusion through the mailing address at PO BOX 2352, HOMER, AK - 99603-2352 (mailing address contact number: 907-235-8001).

Location: 1230 Ocean Dr Ste 1, Homer, AK, 99603-2352
person
Provider Profile Details
NPI Number
1235911397
Provider Name
Gwendolynn Stacy Chickalusion
Credential
COUNSELORTECHNICIAN
Provider Entity Type
Individual
Gender
Female
Address
1230 Ocean Dr Ste 1, Homer, AK, 99603-2352
Phone Number
907-235-8319
Fax Number
907-235-8099
Provider Enumeration Date
10/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1230 Ocean Dr Ste 1
City
State
Zip
99603-7911
Phone Number
907-235-8319
Fax Number
907-235-8099
person
Provider Business Mailing Address Details
Address
1230 Ocean Dr Ste 1
City
State
Zip
99603-7911
Phone Number
907-235-8319
Fax Number
907-235-8099
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5068 (Alaska)
Definition
Definition to come...
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