Kristina Goolsby, LPC | |
230 E Marydale Ave, Soldotna, AK 99669-7648 | |
(907) 260-3691 | |
Not Available |
Full Name | Kristina Goolsby |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 230 E Marydale Ave, Soldotna, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144798430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 137148 (Alaska) | Primary |
Entity Name | Peninsula Community Health Services Of Alaska Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984614 PECOS PAC ID: 8426043894 Enrollment ID: O20040415000965 |
Mailing Address | Practice Location Address |
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Kristina Goolsby, LPC Po Box 2949, Soldotna, AK 99669-2949 Ph: (907) 260-7303 | Kristina Goolsby, LPC 230 E Marydale Ave, Soldotna, AK 99669-7648 Ph: (907) 260-3691 |
Nicholas Kolanach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43335 K Beach Rd Ste 36, Soldotna, AK 99669 Phone: 907-262-6331 | |
Lora Jean Donaldson, LPC, CDCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 44539 Sterling Hwy Ste 203, Blazy Mall, Soldotna, AK 99669 Phone: 907-260-2612 | |
Molly Gretchen Davis, LPC, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 198 W Marydale Ave, Soldotna, AK 99669 Phone: 907-741-1683 Fax: 907-741-1683 | |
Amy Dawn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 E Marydale Ave, Soldotna, AK 99669 Phone: 907-262-3119 | |
Jimmy Ward, MS, MDIV Counselor Medicare: Not Enrolled in Medicare Practice Location: 35109 Royal Pl, Soldotna, AK 99669 Phone: 907-741-2725 Fax: 907-260-7427 | |
Lars Richard Russell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43335 K Beach Rd Ste 36, Soldotna, AK 99669 Phone: 907-262-6331 | |
Ms. Evelyn Louise Clough, ANP, CDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 44539 Sterling Hwy, Suite 105, Soldotna, AK 99669 Phone: 907-262-5324 Fax: 907-260-7464 |