| Summit Sunrise Counseling Llc | |
|
16941 N Eagle River Loop Rd Ste 4 Eagle River AK 99577-7824 | |
| (907) 715-4993 | |
| (907) 531-1320 |
| Full Name | Summit Sunrise Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 16941 N Eagle River Loop Rd Ste 4, Eagle River, Alaska |
| Authorized Official Name and Position | Jordann M Reynolds (OWNER/COUNSELOR) |
| Authorized Official Contact | 9077154993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Sunrise Counseling Llc Po Box 2001 Palmer AK 99645-2001 Ph: (907) 715-4993 | Summit Sunrise Counseling Llc 16941 N Eagle River Loop Rd Ste 4 Eagle River AK 99577-7824 Ph: (907) 715-4993 |
| NPI Number | 1629820543 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Medicare PECOS PAC ID | 7618416876 |
|---|---|
| Medicare Enrollment ID | O20240831000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629820543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jordann Marie Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134734833 PECOS PAC ID: 8527507789 Enrollment ID: I20240831000573 |
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