Hope Holders Ketchikan

NPI #1245919794 in Ketchikan, Alaska

Provider Information

NPI Number: 1245919794
Entity Type: Organization
Organization Name: Hope Holders Ketchikan
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 12, 2023
Last Updated: Dec 30, 2023

Practice Location

Address: 3175 JACKSON HEIGHTS ST
City: Ketchikan
State: Alaska
ZIP Code: 99901-5782
Phone: (907) 617-1378

Authorized Official

Name: MR. JOHN DAVID SUNDEEN, LPC
Title: EXECUTIVE CLINICAL DIRECTOR
Phone: (907) 821-4674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Peer Specialist	175T00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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