| South East Alaska Professional Counseling Associates Llc | |
|
1 Theater Lane 2d Haines AK 99827-9982 | |
| (907) 766-3600 | |
| Not Available |
| Full Name | South East Alaska Professional Counseling Associates Llc |
|---|---|
| Speciality | Counselor |
| Location | 1 Theater Lane, Haines, Alaska |
| Authorized Official Name and Position | Cesre Jean Mcquaid (PRESIDENT) |
| Authorized Official Contact | 9073142495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South East Alaska Professional Counseling Associates Llc Po Box 1777 Haines AK 99827-1777 Ph: (907) 766-3600 | South East Alaska Professional Counseling Associates Llc 1 Theater Lane 2d Haines AK 99827-9982 Ph: (907) 766-3600 |
| NPI Number | 1447997929 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/17/2022 |
| Medicare PECOS PAC ID | 7517305758 |
|---|---|
| Medicare Enrollment ID | O20240405002732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447997929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Cesre Jean Mcquaid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275665168 PECOS PAC ID: 8426496662 Enrollment ID: I20240412003160 |
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