Johnathan Skoog

NPI #1114544152 in Eagle River, Alaska

Provider Information

NPI Number: 1114544152
Entity Type: Individual
Name: Johnathan Skoog
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 25, 2020
Last Updated: Jun 3, 2025

Practice Location

Address: 8012 STEWART MOUNTAIN DR
City: Eagle River
State: Alaska
ZIP Code: 99577-9013
Phone: (907) 694-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Peer Specialist	175T00000X	Primary

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