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Mr. Jerry Demmert
Mental Health Counselor in Ketchikan, Alaska
NPI 1306441027

Jerry Demmert is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Jerry Demmert practices in Ketchikan, AK. The NPI Number for Jerry Demmert is 1306441027 and holds a License No. (Alaska).

The current practice location address for Jerry Demmert is 606 Hill Rd, Ketchikan, AK and can be reached out via phone at 907-202-8727 and via fax at 907-885-6613.

Location: 606 Hill Rd, Ketchikan, AK, 99901-2475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306441027
Provider Name
Jerry Demmert
Credential
Provider Entity Type
Individual
Gender
Male
Address
606 Hill Rd, Ketchikan, AK, 99901-2475
Phone Number
907-202-8727
Fax Number
907-885-6613
Provider Enumeration Date
12/01/2020
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
606 Hill Rd
City
Ketchikan
State
Alaska
Zip
99901-5343
Phone Number
907-202-8727
Fax Number
907-885-6613
person
Provider Business Mailing Address Details
Address
606 Hill Rd
City
Ketchikan
State
Alaska
Zip
99901-5343
Phone Number
907-202-8727
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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