Mrs Susan Ec Powell, LPC | |
705 Second Street, Cordova, AK 99574 | |
(907) 424-3622 | |
Not Available |
Full Name | Mrs Susan Ec Powell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 705 Second Street, Cordova, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356776165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 107324 (Alaska) | Primary |
Entity Name | Native Village Of Eyak |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821074535 PECOS PAC ID: 1052220878 Enrollment ID: O20040116000589 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Ec Powell, LPC Po Box 2290, Cordova, AK 99574-2290 Ph: (907) 424-3622 | Mrs Susan Ec Powell, LPC 705 Second Street, Cordova, AK 99574 Ph: (907) 424-3622 |
John Herman Yakanak Ii, BHA III, MSCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Second St., Cordova, AK 99574 Phone: 907-424-3622 Fax: 907-424-3275 | |
Sun Young An, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Second St, Cordova, AK 99574 Phone: 907-424-3622 Fax: 907-424-3275 | |
Matthew Rush, Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Second Street, Cordova, AK 99574 Phone: 907-424-3622 | |
Dr. Stephen Mark Sundby, PH.D., LPC, CDC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 Chase Ave, Cordova, AK 99574 Phone: 907-424-8300 Fax: 907-424-8645 | |
Stephenie James Saunders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 Chase Ave, Cordova, AK 99574 Phone: 907-424-8300 Fax: 907-424-8645 |