James M Price, LPC, CDC II, MAC | |
3449 E Rezanof Dr, Kodiak, AK 99615-6952 | |
(907) 486-7385 | |
(907) 486-7398 |
Full Name | James M Price |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 3449 E Rezanof Dr, Kodiak, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821421173 | NPI | - | NPPES |
163166 | Other | AK | ALASKA LICENSED PROFESSIONAL COUNSELOR |
MH2237 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 3962 (Alaska) | Secondary |
101YP2500X | Counselor - Professional | 163166 (Alaska) | Primary |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477563344 PECOS PAC ID: 0547152217 Enrollment ID: O20040326001151 |
Entity Name | City Of Valdez |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962525097 PECOS PAC ID: 9931261005 Enrollment ID: O20081224000150 |
Mailing Address | Practice Location Address |
---|---|
James M Price, LPC, CDC II, MAC 3449 E Rezanof Dr, Kodiak, AK 99615-6952 Ph: (907) 486-7385 | James M Price, LPC, CDC II, MAC 3449 E Rezanof Dr, Kodiak, AK 99615-6952 Ph: (907) 486-7385 |
Veronica Angelica Samaniego, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-2400 Fax: 907-481-2419 | |
Michael Handricks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9824 Fax: 907-486-3498 | |
Jordan Beard, Counselor Medicare: Medicare Enrolled Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-942-0672 | |
Mr. Ken E Mccarty, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1423 Simeonof St, Kodiak, AK 99615 Phone: 530-515-1089 Fax: 530-241-9221 | |
Stephanie M Mccarter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-2434 | |
Mr. Phillip Anthony Jordinelli, CDCS, NCACI, SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9823 Fax: 907-486-9898 | |
Hope Lee Livingston Rustemeyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-7383 |