# MANIILAQ ASSOCIATION

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

## Provider details

- **NPI number:** 1699392258
- **Authorized official:** ERIN JACOBS (DIRECTOR OF PATIENT FINANCIAL SERVI)
- **Authorized official phone:** (907) 442-7238

## Contact information

- **Practice address:** 733 2ND AVE, KOTZEBUE, AK 99752
- **Practice address phone:** (907) 442-7238
- **Practice address fax:** (907) 442-7403
- **Mailing address:** PO BOX 43, KOTZEBUE, AK 99752-0043
- **Mailing address phone:** (907) 442-7238
- **Mailing address fax:** (907) 442-7403

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2020
- **Last updated:** 06/30/2020