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Organization

LUMA COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL L GAINES JR. L.I.C.S.W. (OWNER / CEO)
(401) 855-4776
Entity
Organization

Contact information

Practice address
3939 OLD WOOD ROAD, SUITE 74915, ESTER, AK 99709
(401) 855-4776
Mailing address
315 BARNETTE ST UNIT 74915, FAIRBANKS, AK 99707-1157
(401) 855-4773

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
02/19/2025
Last updated
02/19/2025
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