MS. SHIRLEY KETAH MS CDC1 NPI 1033617444

NPI Information

NPI: 1033617444
Provider Name: MS. SHIRLEY KETAH, MS, CDC1
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
121 W FIREWEED LN
ANCHORAGE, AK
ZIP 99503
Phone: (907) 865-9653
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MS. Shirley Ketah, MS, CDC1 is an addiction (substance use disorder) counselor in Anchorage, AK. MS. Shirley Ketah, MS, CDC1 NPI is 1033617444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

121 W FIREWEED LN
ANCHORAGE, AK
ZIP 99503-053
Phone: (907) 865-9653

The enumeration date for this NPI number is 1/31/2018 and was last updated on 1/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor			NEW HAMPSHIRE	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	4099	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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