person
Mrs. Jodie Kay Gaines, MSW,LSW
Addiction (Substance Use Disorder) Counselor in La Porte, Indiana
NPI 1669191490

Jodie Kay Gaines is an Addiction (Substance Use Disorder) Counselor based in Portage, IN and is specialized in Addiction (Substance Use Disorder). Jodie Kay Gaines practices in La Porte, IN and has the professional credentials of MSW,LSW. The NPI Number for Jodie Kay Gaines is 1669191490 and holds a License No. 33010906A (Indiana).

The current practice location address for Jodie Kay Gaines is 508 Legacy Plz W, La Porte, IN and can be reached out via phone at 219-763-8112 and via fax at 219-728-1639.

Location: 508 Legacy Plz W, La Porte, IN, 46368-9230
person
Provider Profile Details
NPI Number
1669191490
Provider Name
Jodie Kay Gaines
Credential
MSW,LSW
Provider Entity Type
Individual
Gender
Female
Address
508 Legacy Plz W, La Porte, IN, 46368-9230
Phone Number
219-763-8112
Fax Number
219-728-1639
Provider Enumeration Date
08/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
508 Legacy Plz W
City
State
Zip
46350-5254
Phone Number
219-763-8112
Fax Number
219-728-1639
person
Provider Business Mailing Address Details
Address
508 Legacy Plz W
City
State
Zip
46350-5254
Phone Number
219-763-8112
Fax Number
219-728-1639
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
33010906A (Indiana)
Definition
Definition to come...
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