Scott Alen Kotulak, BA IN PSYCHOLOGY

NPI #1114571858 in Anchorage, Alaska

Provider Information

NPI Number
1114571858
Entity Type
Individual
Name
Scott Alen Kotulak, BA IN PSYCHOLOGY
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Credential
BA IN PSYCHOLOGY
Enumeration Date
Jul 31, 2019
Last Updated
Jul 31, 2019

Practice Location

Address
1650 BRAGAW ST
State
Alaska
ZIP Code
99508-3435
Phone
(907) 258-7575

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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