| Anchorage Community Mental Health Services | |
|
4045 Lake Otis Pkwy Ste 101 Anchorage AK 99508-5211 | |
| (907) 561-5094 | |
| (907) 561-7093 |
| Full Name | Anchorage Community Mental Health Services |
|---|---|
| Speciality | Counselor - Pastoral |
| Location | 4045 Lake Otis Pkwy, Anchorage, Alaska |
| Authorized Official Name and Position | Jerry Jenkins (CEO) |
| Authorized Official Contact | 9075610954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchorage Community Mental Health Services 4045 Lake Otis Pkwy Ste 101 Anchorage AK 99508-5211 Ph: (907) 561-0954 | Anchorage Community Mental Health Services 4045 Lake Otis Pkwy Ste 101 Anchorage AK 99508-5211 Ph: (907) 561-5094 |
| NPI Number | 1285731950 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285731950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | 101YP1600X (Alaska) | Primary |
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