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Tacoma Coronel
Mental Health Counselor in Ketchikan, Alaska
NPI 1508634064

Tacoma Coronel is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Tacoma Coronel practices in Ketchikan, AK. The NPI Number for Tacoma Coronel is 1508634064 and holds a License No. (Alaska).

The current practice location address for Tacoma Coronel is 2514 First Ave, Ketchikan, AK and can be reached out via phone at 907-225-4664.

Location: 2514 First Ave, Ketchikan, AK, 99901-2475
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Provider Profile Details
NPI Number
1508634064
Provider Name
Tacoma Coronel
Credential
Provider Entity Type
Individual
Gender
Female
Address
2514 First Ave, Ketchikan, AK, 99901-2475
Phone Number
907-225-4664
Fax Number
Provider Enumeration Date
12/14/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1713721 05 AK
1703638 05 AK
institution
Provider Business Practice Location Address Details
Address
2514 First Ave
City
State
Zip
99901-5804
Phone Number
907-225-4664
Fax Number
person
Provider Business Mailing Address Details
Address
2514 First Ave
City
State
Zip
99901-5804
Phone Number
907-225-4664
Fax Number
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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