Mrs Sarah Koogle, BA | |
3830 S Cushman St, Fairbanks, AK 99701-7530 | |
(907) 452-1575 | |
Not Available |
Full Name | Mrs Sarah Koogle |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 3830 S Cushman St, Fairbanks, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679817621 | NPI | - | NPPES |
MH0157 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Anchorage Community Mental Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326268301 PECOS PAC ID: 1052213089 Enrollment ID: O20040121000942 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sarah Koogle, BA 3830 S Cushman St, Fairbanks, AK 99701-7530 Ph: (907) 452-1575 | Mrs Sarah Koogle, BA 3830 S Cushman St, Fairbanks, AK 99701-7530 Ph: (907) 452-1575 |
Ms. Lynn Roberta Harrison, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3504 Industrial, Fairbanks, AK 99701 Phone: 907-479-8450 | |
Mr. Robert Mitchell Rickson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 | |
Ms. Pauline Lian, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 Fax: 907-455-1460 | |
Tammy Sue Korb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 | |
Susan E Stanton, PLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 University Ave, Fairbanks, AK 99709 Phone: 907-347-2160 | |
John Duncan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 Marika Rd, Fairbanks, AK 99709 Phone: 907-474-0890 Fax: 907-474-3621 | |
Danielle Burke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 5th Ave, Fairbanks, AK 99701 Phone: 907-374-7776 |