| Jillanne Garrity Llc | |
|
8721 Kathleen Dr Anchorage AK 99502-5442 | |
| (907) 312-4448 | |
| Not Available |
| Full Name | Jillanne Garrity Llc |
|---|---|
| Speciality | Counselor |
| Location | 8721 Kathleen Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Jillanne Garrity (CEO) |
| Authorized Official Contact | 9073124448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jillanne Garrity Llc Po Box 201089 Anchorage AK 99520-1089 Ph: (907) 312-4448 | Jillanne Garrity Llc 8721 Kathleen Dr Anchorage AK 99502-5442 Ph: (907) 312-4448 |
| NPI Number | 1003594276 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 8224489745 |
|---|---|
| Medicare Enrollment ID | O20240109004293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003594276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jillanne Marie Garrity |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083322663 PECOS PAC ID: 9133570658 Enrollment ID: I20240109004364 |
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