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Organization
TOK AREA MENTAL HEALTH COUNCIL, INC.
Active
Organization
TOK AREA MENTAL HEALTH COUNCIL, INC.
Active
Other names
Tok Area Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORA L LOWERY M.A. LPC.,DI (DIRECTORS)
(907) 883-5855
Entity
Organization
Contact information
Practice address
W.1ST STREET, SUITE 8, TOK, AK 99780-0398
(907) 883-5106
(907) 883-5108
Mailing address
PO BOX 398, W.1ST ST SUITE 8, TOK, AK 99780-0398
(907) 883-5106
(907) 883-5108
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
183290
AK
261QM0850X
Adult Mental Health Clinic/Center
183290
AK
261QM0855X
Adolescent and Children Mental Health Clinic/Center
183290
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183290
ALASKA BUSINESS LICENSE #
AK
01
—
20456D
DCCED CBPL AK ENTITY #
AK
05
—
MH0285
—
AK
01
—
TAM84686
STATE OF AK VENDOR ID #
AK
Enumeration date
05/23/2007
Last updated
06/21/2018
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