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Michael Handricks
Addiction (Substance Use Disorder) Counselor in Kodiak, Alaska
NPI 1063634491

Michael Handricks is an Addiction (Substance Use Disorder) Counselor based in Kodiak, AK and is specialized in Addiction (Substance Use Disorder). Michael Handricks practices in Kodiak, AK. The NPI Number for Michael Handricks is 1063634491 and holds a License No. TTS02-09-006P (Alaska).

The current practice location address for Michael Handricks is 3449 E Rezanof Dr, Kodiak, AK and can be reached out via phone at 907-486-9824 and via fax at 907-486-3498. You can also correspond with Michael Handricks through the mailing address at 3449 E REZANOF DR, KODIAK, AK - 99615-6952 (mailing address contact number: 907-486-9824).

Location: 3449 E Rezanof Dr, Kodiak, AK, 99615-6952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063634491
Provider Name
Michael Handricks
Credential
Provider Entity Type
Individual
Gender
Male
Address
3449 E Rezanof Dr, Kodiak, AK, 99615-6952
Phone Number
907-486-9824
Fax Number
907-486-3498
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
DA4442 05 AK
institution
Provider Business Practice Location Address Details
Address
3449 E Rezanof Dr
City
Kodiak
State
Alaska
Zip
99615-6952
Phone Number
907-486-9824
Fax Number
907-486-3498
person
Provider Business Mailing Address Details
Address
3449 E Rezanof Dr
City
Kodiak
State
Alaska
Zip
99615-6952
Phone Number
907-486-9824
Fax Number
907-486-3498
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CDC 1 3614 (Alaska)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
TTS02-09-006P (Alaska)
Definition
Definition to come...
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