| Trinity Family Counseling | |
|
17045 Coronado Rd Eagle River AK 99577-7825 | |
| (907) 696-5656 | |
| Not Available |
| Full Name | Trinity Family Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17045 Coronado Rd, Eagle River, Alaska |
| Authorized Official Name and Position | Shawna Ragan (OWNER) |
| Authorized Official Contact | 9076965656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Family Counseling 17045 Coronado Rd Eagle River AK 99577-7825 Ph: (907) 696-5656 | Trinity Family Counseling 17045 Coronado Rd Eagle River AK 99577-7825 Ph: (907) 696-5656 |
| NPI Number | 1871227637 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871227637 | NPI | - | NPPES |
| 1992932685 | Medicaid | AK | |
| 1265191357 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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