| Alyeska Counseling Group Llc | |
|
701 W 41st Ave Suite #104 Anchorage AK 99503-6604 | |
| (907) 782-4553 | |
| Not Available |
| Full Name | Alyeska Counseling Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 701 W 41st Ave, Anchorage, Alaska |
| Authorized Official Name and Position | Damito Jo Owen (DIRECTOR) |
| Authorized Official Contact | 9077824553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alyeska Counseling Group Llc Po Box 230795 Anchorage AK 99523-0795 Ph: (907) 782-4553 | Alyeska Counseling Group Llc 701 W 41st Ave Suite #104 Anchorage AK 99503-6604 Ph: (907) 782-4553 |
| NPI Number | 1518346840 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518346840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 926414 (Alaska) | Primary |
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