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1601 Salmon Creek Ln Juneau AK 99801-7867 | |
(503) 207-3061 | |
Not Available |
Full Name | |
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Speciality | Counselor - Professional |
Location | 1601 Salmon Creek Ln, Juneau, Alaska |
Authorized Official Name and Position | Pagey A. Taylor (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 5032073061 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1601 Salmon Creek Ln Juneau AK 99801-7867 Ph: (503) 207-3061 | 1601 Salmon Creek Ln Juneau AK 99801-7867 Ph: (503) 207-3061 |
NPI Number | 1740718360 |
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Provider Enumeration Date | 05/26/2017 |
Last Update Date | 12/02/2024 |
Certification Date | 12/02/2024 |
Identifier | Type | State | Issuer |
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1740718360 | NPI | - | NPPES |
C4318 | Other | OR | LICENSE |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 118972 (Alaska) | Primary |
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