| Wisdom Traditions Counseling Services, Llc | |
|
401 W International Airport Rd Ste 17 Anchorage AK 99518-1168 | |
| (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 (FINANCIAL CONTROLLER) |
| Authorized Official Contact | 9416973100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 99518-1168 Ph: (907) 770-3656 |
| NPI Number | 1518582063 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 06/10/2020 |
| Certification Date | 06/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518582063 | NPI | - | NPPES |
| 1695691 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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