| Upstream Counseling Llc | |
|
741 Sesame St Ste 1b Anchorage AK 99503-6657 | |
| (907) 444-4867 | |
| (844) 628-1611 |
| Full Name | Upstream Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 741 Sesame St Ste 1b, Anchorage, Alaska |
| Authorized Official Name and Position | Maria Lynn Ballard (CEO) |
| Authorized Official Contact | 9072979639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstream Counseling Llc 741 Sesame St Ste 1b Anchorage AK 99503-6657 Ph: (907) 444-4867 | Upstream Counseling Llc 741 Sesame St Ste 1b Anchorage AK 99503-6657 Ph: (907) 444-4867 |
| NPI Number | 1376030288 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376030288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1069542 (Alaska) | Primary |
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