Individual
JENNIFER MORNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 HILL RD, KETCHIKAN, AK 99901-5343
(907) 202-8727
Mailing address
PO BOX 7475, KETCHIKAN, AK 99901-2475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1703638
—
AK
05
—
1713721
—
AK
Enumeration date
08/15/2023
Last updated
08/15/2023
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