Susan Gaines, LCDC

NPI 1487106605 · on the registry since 2016 · sole proprietor

Practice

Address: 3449 Rezanof Drive East
Kodiak, AK 99615
Phone: (907) 486-9800
Fax: (907) 486-9896
Organisation at this address: Kodiak Area Native Association
Alaska Native Tribal Health Consortium
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska