Alaska Counselor Lpc

NPI #1164163259 in Ketchikan, Alaska

Provider Information

NPI Number
1164163259
Entity Type
Organization
Organization Name
Alaska Counselor Lpc
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 5, 2022
Last Updated
Apr 5, 2022

Practice Location

Address
1200 TONGASS AVE
State
Alaska
ZIP Code
99901-6136
Phone
(907) 220-6090

Authorized Official

Name
RUTH BULLOCK, LPC
Title
OWNER
Phone
(907) 220-6090

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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