Ms Esther Abigail Bold, MA, LPC, LADC | |
1818 E Rezanof Dr, Kodiak, AK 99615-6505 | |
(405) 757-7696 | |
Not Available |
Full Name | Ms Esther Abigail Bold |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1818 E Rezanof Dr, Kodiak, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891901187 | NPI | - | NPPES |
200374260A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1063 (Oklahoma) | Secondary |
101YP2500X | Counselor - Professional | 5008 (Oklahoma) | Primary |
Entity Name | Achieve Medical Alaska Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922648690 PECOS PAC ID: 1951730183 Enrollment ID: O20200707001224 |
Entity Name | Sokyahealth Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447842232 PECOS PAC ID: 9739575648 Enrollment ID: O20220606000181 |
Mailing Address | Practice Location Address |
---|---|
Ms Esther Abigail Bold, MA, LPC, LADC Po Box 2104, Kodiak, AK 99615-2104 Ph: (405) 757-7696 | Ms Esther Abigail Bold, MA, LPC, LADC 1818 E Rezanof Dr, Kodiak, AK 99615-6505 Ph: (405) 757-7696 |
Veronica Angelica Samaniego, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-2400 Fax: 907-481-2419 | |
Michael Handricks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9824 Fax: 907-486-3498 | |
Jordan Beard, Counselor Medicare: Medicare Enrolled Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-942-0672 | |
Mr. Ken E Mccarty, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1423 Simeonof St, Kodiak, AK 99615 Phone: 530-515-1089 Fax: 530-241-9221 | |
Stephanie M Mccarter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-481-2434 | |
Mr. Phillip Anthony Jordinelli, CDCS, NCACI, SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9823 Fax: 907-486-9898 | |
Hope Lee Livingston Rustemeyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-7383 |