Mr James Lorence, | |
Mile 111.5 Richardson Hwy, Copper Center, AK 99588 | |
(907) 259-5691 | |
Not Available |
Full Name | Mr James Lorence |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | Mile 111.5 Richardson Hwy, Copper Center, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215418728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Ahtna T' Aene Nene' |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164745691 PECOS PAC ID: 3072404607 Enrollment ID: O20151228000597 |
Mailing Address | Practice Location Address |
---|---|
Mr James Lorence, Po Box 731, Glennallen, AK 99588-0731 Ph: () - | Mr James Lorence, Mile 111.5 Richardson Hwy, Copper Center, AK 99588 Ph: (907) 259-5691 |
Felicia Lynne Ewan, CASE MANAGER Counselor Medicare: Not Enrolled in Medicare Practice Location: Mile 111.5 Richardson Hwy, Copper Center, AK 99573 Phone: 907-822-5241 Fax: 907-822-8803 | |
Jennifer Hamann, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: Mile 111.5 Richardson Hwy, Copper Center, AK 99573 Phone: 907-822-5241 | |
Miss Sarah Anne White, CDC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box H, Copper Center, AK 99573 Phone: 907-822-5241 Fax: 907-822-8803 | |
Amanda Renee Tortorige, LPC Counselor Medicare: Medicare Enrolled Practice Location: Mile 111.5 Richardson Highway, Copper Center, AK 99573 Phone: 907-822-8855 | |
Angel Craig, Counselor Medicare: Not Enrolled in Medicare Practice Location: Mile 111.5 Rich Hwy, Copper Center, AK 99573 Phone: 907-822-5241 |