person
Jason Cody Mecham
Mental Health Counselor in Ketchikan, Alaska
NPI 1265012959

Jason Cody Mecham is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Jason Cody Mecham practices in Ketchikan, AK. The NPI Number for Jason Cody Mecham is 1265012959 and holds a License No. (Alaska).

The current practice location address for Jason Cody Mecham is 2269 Oyster Ave, Ketchikan, AK and can be reached out via phone at 425-737-5076 and via fax at 907-202-8684.

Location: 2269 Oyster Ave, Ketchikan, AK, 99901-2475
person
Provider Profile Details
NPI Number
1265012959
Provider Name
Jason Cody Mecham
Credential
Provider Entity Type
Individual
Gender
Male
Address
2269 Oyster Ave, Ketchikan, AK, 99901-2475
Phone Number
425-737-5076
Fax Number
907-202-8684
Provider Enumeration Date
04/08/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1713721 05 AK
17073638 05 AK
institution
Provider Business Practice Location Address Details
Address
2269 Oyster Ave
City
State
Zip
99901-9539
Phone Number
425-737-5076
Fax Number
907-202-8684
person
Provider Business Mailing Address Details
Address
2269 Oyster Ave
City
State
Zip
99901-9539
Phone Number
425-737-5076
Fax Number
907-202-8684
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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