Gaines, Susan B

Gaines, Susan B is an sole proprietor health care provider with primary practice located at 3449 Rezanof Drive East , Kodiak AK 99615. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gaines, Susan B can be contacted via phone (907) 486-9800.

Contact Information

Primary practice address
3449 Rezanof Drive East Kodiak AK 99615
Phone: (907) 486-9800
Fax: (907) 486-9896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2427 Texas

Profile Details

NPI number 1487106605
LBN Legal business name Gaines, Susan B
Credentials LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2016
Last updated Nov 4th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers