Kayla Gaines, LMSW

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Irondale, AL

NPI 1467012013 · NPPES record last updated Jun 17, 2019

Key facts

NPI
1467012013
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
4621G (AL)
Practice address
1830 Montclair Rd Ste a
Irondale, AL 35210-2645
Phone
(205) 775-0300
Fax
(205) 618-9706
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4621GALMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4621G AL Yes

Addresses

Primary practice location

1830 Montclair Rd Ste a
Irondale, AL 35210-2645

Mailing address

1830 Montclair Rd Ste a
Irondale, AL 35210-2645
Phone (205) 775-0300

Other providers in Irondale, AL

All providers in Irondale, AL · Addiction (Substance Use Disorder) Counselor in Alabama

Sources for this page

Verify at the official NPI Registry.