Gwendolynn Stacy Chickalusion, COUNSELOR TECHNICIAN - Counselor in Homer, AK

Gwendolynn Stacy Chickalusion, COUNSELOR TECHNICIAN is a Counselor - Addiction (substance Use Disorder) based in Homer, Alaska. Gwendolynn Stacy Chickalusion is licensed to practice in Alaska (license number 5068) and her current practice location is 1230 Ocean Dr Ste 1, Homer, Alaska. She can be reached at her office (for appointments etc.) via phone at (907) 235-8319.

NPI number for Gwendolynn Stacy Chickalusion is 1235911397 and her current mailing address is Po Box 2352, Homer, Alaska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235911397.

Contact Information

Gwendolynn Stacy Chickalusion, COUNSELOR TECHNICIAN
1230 Ocean Dr Ste 1,
Homer, AK 99603-7911
(907) 235-8319
(907) 235-8099

Map and Direction


Healthcare Provider's Profile

Full NameGwendolynn Stacy Chickalusion
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1230 Ocean Dr Ste 1, Homer, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235911397
  • Provider Enumeration Date: 10/13/2023
  • Last Update Date: 10/13/2023

Medical Identifiers

Medical identifiers for Gwendolynn Stacy Chickalusion such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235911397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 5068 (Alaska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gwendolynn Stacy Chickalusion is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gwendolynn Stacy Chickalusion, COUNSELOR TECHNICIAN
Po Box 2352,
Homer, AK 99603-2352

Ph: (907) 235-8001
Gwendolynn Stacy Chickalusion, COUNSELOR TECHNICIAN
1230 Ocean Dr Ste 1,
Homer, AK 99603-7911

Ph: (907) 235-8319

Reviews and Comments


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