| Alaska Telehealth Therapy, Llc | |
|
51137 Nanook Cir Nikiski AK 99611-9318 | |
| (907) 252-6076 | |
| Not Available |
| Full Name | Alaska Telehealth Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 51137 Nanook Cir, Nikiski, Alaska |
| Authorized Official Name and Position | Maghan Kruzick (SOLE OWNER) |
| Authorized Official Contact | 9072526076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaska Telehealth Therapy, Llc Po Box 8291 Nikiski AK 99635-8291 Ph: (907) 252-6076 | Alaska Telehealth Therapy, Llc 51137 Nanook Cir Nikiski AK 99611-9318 Ph: (907) 252-6076 |
| NPI Number | 1629898317 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629898317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |