| Blue Spruce Counseling Services | |
|
247 S Alaska St Ste A Palmer AK 99645-6335 | |
| (907) 434-1079 | |
| Not Available |
| Full Name | Blue Spruce Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 247 S Alaska St Ste A, Palmer, Alaska |
| Authorized Official Name and Position | Kathryn J Hall (OWNER) |
| Authorized Official Contact | 9074341079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Spruce Counseling Services Po Box 870758 Wasilla AK 99687-0758 Ph: (907) 434-1079 | Blue Spruce Counseling Services 247 S Alaska St Ste A Palmer AK 99645-6335 Ph: (907) 434-1079 |
| NPI Number | 1245949478 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Medicare PECOS PAC ID | 3779953815 |
|---|---|
| Medicare Enrollment ID | O20230808002852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245949478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kathryn Jane Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992007603 PECOS PAC ID: 4880926773 Enrollment ID: I20191025001252 |
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