Organization
PSYCHIATRIC & COUNSELING SERVICES
Active
Other names
Mark Ames
Organization subpart
No
Provider details
NPI number
Authorized official
MARK AMES MS.,MN.,ANP. (OWNER)
(907) 376-9369
Entity
Organization
Contact information
Practice address
5431 MAYFLOWER LN, SUITE 2, WASILLA, AK 99654-7817
(907) 376-9369
(907) 376-9363
Mailing address
5431 MAYFLOWER LN, SUITE 2, WASILLA, AK 99654-7817
(907) 376-9369
(907) 376-9363
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
752
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP07521
—
AK
Enumeration date
08/30/2006
Last updated
08/22/2020
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