Mitkof Behavioral Health LLC
NPI #1164191698 in Petersburg, Alaska
Provider Information
- NPI Number
- 1164191698
- Entity Type
- Organization
- Organization Name
- Mitkof Behavioral Health LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 8, 2021
- Last Updated
- May 5, 2022
Practice Location
- Address
- 403 HAUGEN DRIVE
- Address 2
- #103
- City
- Petersburg
- State
- Alaska
- ZIP Code
- 99833-0771
- Phone
- (907) 650-0222
Authorized Official
- Name
- KARA B WESEBAUM, LCSW
- Title
- OWNER
- Phone
- (907) 650-0222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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