| Wild Goose Counseling Llc | |
|
198 W Marydale Ave Soldotna AK 99669-7501 | |
| (907) 953-9614 | |
| Not Available |
| Full Name | Wild Goose Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 198 W Marydale Ave, Soldotna, Alaska |
| Authorized Official Name and Position | Lydia Anna Davis (CO-OWNER) |
| Authorized Official Contact | 9079539614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Goose Counseling Llc 379 W Katmai Ave Soldotna AK 99669-7315 Ph: (907) 953-9614 | Wild Goose Counseling Llc 198 W Marydale Ave Soldotna AK 99669-7501 Ph: (907) 953-9614 |
| NPI Number | 1891224879 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 06/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891224879 | NPI | - | NPPES |
| 109623 | Other | AK | LICENSED PROFESSIONAL COUNSELOR MOLLY DAVIS |
| 109622 | Other | AK | LICENSED PROFESSIONAL COUNSELOR LYDIA DAVIS |
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