Provider Demographics
NPI:1215234794
Name:NAUSKA, GAYLE LYNN (LPC)
Entity type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:LYNN
Last Name:NAUSKA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 EIDE ST.
Mailing Address - Street 2:STE. 5
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503
Mailing Address - Country:US
Mailing Address - Phone:907-277-1166
Mailing Address - Fax:907-277-1143
Practice Address - Street 1:2509 EIDE ST
Practice Address - Street 2:SUITE 5
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2634
Practice Address - Country:US
Practice Address - Phone:907-277-1166
Practice Address - Fax:907-277-1143
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK683101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional