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Organization
HEALING ROCK COUNSELING SERVICES LLC
Active
Organization
HEALING ROCK COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY JEAN KING PHD (ORGANIZATION OFFICIAL)
(907) 354-0439
Entity
Organization
Contact information
Practice address
11517 OLD GLENN HWY STE 204, EAGLE RIVER, AK 99577-7312
(907) 354-0439
(907) 689-7625
Mailing address
23450 GLACIER VIEW DR, EAGLE RIVER, AK 99577-9617
(907) 354-0439
(907) 689-7625
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275165763
—
AK
05
—
1871780452
—
AK
Enumeration date
07/24/2024
Last updated
07/24/2024
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