HOPE HOLDERS KETCHIKAN NPI 1245919794

NPI Information

NPI: 1245919794
Provider Name: HOPE HOLDERS KETCHIKAN

Other Name: HOPE HOLDERS ALASKA

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3175 JACKSON HEIGHTS ST
KETCHIKAN, AK
ZIP 99901
Phone: (907) 617-1378
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HOPE HOLDERS KETCHIKAN is a mental health counselor in Ketchikan, AK. HOPE HOLDERS KETCHIKAN NPI is 1245919794. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Hope Holders Alaska.

The provider's business location address is:

3175 JACKSON HEIGHTS ST
KETCHIKAN, AK
ZIP 99901-782
Phone: (907) 617-1378

The provider's authorized official is John David Sundeen .
The authorized official title is Executive Clinical Director and has the following contact phone number (907) 821-4674.

The enumeration date for this NPI number is 7/12/2023 and was last updated on 12/30/2023.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	175T00000X	Peer Specialist		No
3	101YM0800X	Counselor	Mental Health	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: 5/5/2024

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