| Pemberton&young Llc | |
|
2600 Denali St Ste 430 Anchorage AK 99503-2754 | |
| (907) 223-3779 | |
| Not Available |
| Full Name | Pemberton&young Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2600 Denali St Ste 430, Anchorage, Alaska |
| Authorized Official Name and Position | Maureen Young (OWNER/THERAPIST) |
| Authorized Official Contact | 9072233779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pemberton&young Llc Po Box 91056 Anchorage AK 99509-1056 Ph: (907) 223-3779 | Pemberton&young Llc 2600 Denali St Ste 430 Anchorage AK 99503-2754 Ph: (907) 223-3779 |
| NPI Number | 1245723824 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 06/08/2018 |
| Medicare PECOS PAC ID | 9133465131 |
|---|---|
| Medicare Enrollment ID | O20190111002379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245723824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Krista Ann Pemberton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194029488 PECOS PAC ID: 6002090685 Enrollment ID: I20110405001144 |
| Provider Name | Damon L Pemberton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679875819 PECOS PAC ID: 6204140171 Enrollment ID: I20150805008773 |
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