person
Ms. Alicia Jo Smith
Mental Health Counselor in Ketchikan, Alaska
NPI 1144824582

Alicia Jo Smith is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Alicia Jo Smith practices in Ketchikan, AK. The NPI Number for Alicia Jo Smith is 1144824582 and holds a License No. (Alaska).

The current practice location address for Alicia Jo Smith is 2524 First Ave, Ketchikan, AK and can be reached out via phone at 907-821-9810 and via fax at 907-885-6613.

Location: 2524 First Ave, Ketchikan, AK, 99901-2475
person
Provider Profile Details
NPI Number
1144824582
Provider Name
Alicia Jo Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
2524 First Ave, Ketchikan, AK, 99901-2475
Phone Number
907-821-9810
Fax Number
907-885-6613
Provider Enumeration Date
11/25/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1021118 05 AK
1584706 05 AK
institution
Provider Business Practice Location Address Details
Address
2524 First Ave
City
State
Zip
99901-5804
Phone Number
907-821-9810
Fax Number
907-885-6613
person
Provider Business Mailing Address Details
Address
2524 First Ave
City
State
Zip
99901-5804
Phone Number
907-821-9810
Fax Number
907-885-6613
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Alaska)
Definition
Definition to come...
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