Organization
LUMA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GAINES LICSW (AUTHORIZED OFFICIAL)
(401) 855-4776
Entity
Organization
Contact information
Practice address
690 EASTSIDE DRIVE, FOX, AK 99707
(401) 855-4776
Mailing address
315 BARNETTE ST UNIT 74915, FAIRBANKS, AK 99707-1157
(401) 855-4776
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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