| Wisdom Traditions Counseling Services, Llc | |
|
401 W International Airport Rd Ste 17 Anchorage AK 99518 | |
| (907) 770-3656 | |
| (907) 562-4503 |
| Full Name | Wisdom Traditions Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 401 W International Airport Rd Ste 17, Anchorage, Alaska |
| Authorized Official Name and Position | Kimberly A. Hamilton (PRACTICE MANAGER) |
| Authorized Official Contact | 9416973100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Traditions Counseling Services, Llc 401 W International Airport Rd Ste 17 Anchorage AK 99518-1168 Ph: (907) 770-3656 | Wisdom Traditions Counseling Services, Llc 401 W International Airport Rd Ste 17 Anchorage AK 99518 Ph: (907) 770-3656 |
| NPI Number | 1467775676 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 08/26/2019 |
| Medicare PECOS PAC ID | 2567794217 |
|---|---|
| Medicare Enrollment ID | O20191029002982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467775676 | NPI | - | NPPES |
| Provider Name | David Roland Mack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811041056 PECOS PAC ID: 2668400318 Enrollment ID: I20111005000158 |
| Provider Name | Robin L Ninefeldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659691590 PECOS PAC ID: 2163656299 Enrollment ID: I20150811004158 |
| Provider Name | Gwendoline Dewitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316289739 PECOS PAC ID: 5395029433 Enrollment ID: I20170309000082 |
| Provider Name | David Nana Ampong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174867428 PECOS PAC ID: 2567797699 Enrollment ID: I20201207001355 |
| Provider Name | Jacqueline Danielle Arcand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467908103 PECOS PAC ID: 9931514387 Enrollment ID: I20210216002708 |
| Provider Name | Anna Sappah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598327074 PECOS PAC ID: 8022461680 Enrollment ID: I20240130003427 |
| Provider Name | Michael W Demolina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164472924 PECOS PAC ID: 5294067948 Enrollment ID: I20240306002508 |
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