person
Mr. Tyson Kain Duckworth
Mental Health Counselor in Ketchikan, Alaska
NPI 1912502675

Tyson Kain Duckworth is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Tyson Kain Duckworth practices in Ketchikan, AK. The NPI Number for Tyson Kain Duckworth is 1912502675 and holds a License No. (Alaska).

The current practice location address for Tyson Kain Duckworth is 2524 First Ave, Ketchikan, AK and can be reached out via phone at 907-220-7080 and via fax at 907-885-6613.

Location: 2524 First Ave, Ketchikan, AK, 99901-2475
person
Provider Profile Details
NPI Number
1912502675
Provider Name
Tyson Kain Duckworth
Credential
Provider Entity Type
Individual
Gender
Female
Address
2524 First Ave, Ketchikan, AK, 99901-2475
Phone Number
907-220-7080
Fax Number
907-885-6613
Provider Enumeration Date
12/01/2020
Last Update Date
03/10/2024
tick
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
907-220-7080
Fax Number
907-885-6613
person
Provider Business Mailing Address Details
Address
2524 First Ave
City
State
Zip
99901-5804
Phone Number
907-220-7080
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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