Psychiatric & Counseling Services

NPI 1023128162 - Psychologist - 103TC2200X

NPI Details
NPI 1023128162
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK MARK
Position OWNER
Phone (907) 376-9369
Fax (907) 376-9363
Practice Location
5431 MAYFLOWER LN
SUITE 2
WASILLA AK, 99654-7817, US
Phone (907) 376-9369
Fax (907) 376-9363
Business Location
5431 MAYFLOWER LN
SUITE 2
WASILLA AK, 99654-7817, US
Phone (907) 376-9369
Fax (907) 376-9363
Toxanomy
Taxonomy Code 103TC2200X
License State Alaska
License Number 752
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According to our database, Psychiatric & Counseling Services NPI is 1023128162, taxonomy code is 103TC2200X and license number is 752, license state is located at Alaska. Psychiatric & Counseling Services physically located at 5431 Mayflower Ln, Wasilla AK, 99654-7817. NPI Number 1033115704 has the healthcare provider type.

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1023128162 NPI number is provided on an as is basis without warranty of any kind. 1023128162 is maintained by the National Plan & Provider Enumeration System. The contents of Psychiatric & Counseling Services are for informational purposes only.