| Mr Charles C Suckinaw, | |
|
2514 First Ave, Ketchikan, AK 99901-5804 | |
| (907) 225-4664 | |
| (907) 885-6613 |
| Full Name | Mr Charles C Suckinaw |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2514 First Ave, Ketchikan, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285238626 | NPI | - | NPPES |
| 1021118 | Medicaid | AK | |
| 1584706 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles C Suckinaw, Po Box 7475, Ketchikan, AK 99901-2475 Ph: (907) 225-4664 | Mr Charles C Suckinaw, 2514 First Ave, Ketchikan, AK 99901-5804 Ph: (907) 225-4664 |
Ms. Candice Jillian Duckworth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3050 Fifth Ave Ste 100, Ketchikan, AK 99901 Phone: 907-463-0627 | |
James Michael Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 Stedman St, Ketchikan, AK 99901 Phone: 907-225-7825 Fax: 907-225-1541 | |
Jennifer Morneau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 Hill Rd, Ketchikan, AK 99901 Phone: 907-202-8727 | |
Mr. James Edward Mcdonald Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 First Ave, Ketchikan, AK 99901 Phone: 907-225-4664 Fax: 907-885-6613 | |
Ms. Amber Lynn Machado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 Hill Rd, Ketchikan, AK 99901 Phone: 907-617-9211 Fax: 907-885-6613 | |
Candice Arrington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Pine St, Ketchikan, AK 99901 Phone: 907-225-7825 | |
Yaitza Resto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2524 First Ave, Ketchikan, AK 99901 Phone: 907-225-4664 |