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Mr. Charles C Suckinaw
Mental Health Counselor in Ketchikan, Alaska
NPI 1285238626

Charles C Suckinaw is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Charles C Suckinaw practices in Ketchikan, AK. The NPI Number for Charles C Suckinaw is 1285238626 and holds a License No. (Alaska).

The current practice location address for Charles C Suckinaw is 2514 First Ave, Ketchikan, AK and can be reached out via phone at 907-225-4664 and via fax at 907-885-6613.

Location: 2514 First Ave, Ketchikan, AK, 99901-2475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285238626
Provider Name
Charles C Suckinaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
2514 First Ave, Ketchikan, AK, 99901-2475
Phone Number
907-225-4664
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
2514 First Ave
City
Ketchikan
State
Alaska
Zip
99901-5804
Phone Number
907-225-4664
Fax Number
907-885-6613
person
Provider Business Mailing Address Details
Address
2514 First Ave
City
Ketchikan
State
Alaska
Zip
99901-5804
Phone Number
907-225-4664
Fax Number
907-885-6613
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Alaska)
Definition
Definition to come...
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