person
Jason Anderson
Mental Health Counselor in Ketchikan, Alaska
NPI 1992412324

Jason Anderson is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Jason Anderson practices in Ketchikan, AK. The NPI Number for Jason Anderson is 1992412324 and holds a License No. (Alaska).

The current practice location address for Jason Anderson is 2281 Oyster Ave, Ketchikan, AK and can be reached out via phone at 907-617-6215.

Location: 2281 Oyster Ave, Ketchikan, AK, 99901-2475
person
Provider Profile Details
NPI Number
1992412324
Provider Name
Jason Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2281 Oyster Ave, Ketchikan, AK, 99901-2475
Phone Number
907-617-6215
Fax Number
Provider Enumeration Date
11/04/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1703638 05 AK
1713721 05 AK
institution
Provider Business Practice Location Address Details
Address
2281 Oyster Ave
City
State
Zip
99901-9539
Phone Number
907-617-6215
Fax Number
person
Provider Business Mailing Address Details
Address
2281 Oyster Ave
City
State
Zip
99901-9539
Phone Number
907-617-6215
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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