# ALASKA TELEHEALTH THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629898317
- **Authorized official:** MAGHAN KRUZICK MS, LPC (SOLE OWNER)
- **Authorized official phone:** (907) 252-6076

## Contact information

- **Practice address:** 51137 NANOOK CIR, NIKISKI, AK 99611-9318
- **Practice address phone:** (907) 252-6076
- **Mailing address:** PO BOX 8291, NIKISKI, AK 99635-8291
- **Mailing address phone:** (907) 252-6076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2024
- **Last updated:** 10/16/2024