Organization
ORION BEHAVIORAL HEALTH NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELLEN DESRUISSEAU (CFO)
(907) 360-1566
Entity
Organization
Contact information
Practice address
16600 CENTERFIELD DR STE 4, EAGLE RIVER, AK 99577-7702
(907) 696-7466
(907) 726-0332
Mailing address
200 2ND AVE S # 489, SAINT PETERSBURG, FL 33701-4313
(907) 360-1566
(907) 726-0332
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
935267
AK
103T00000X
Psychologist
—
—
Other
Enumeration date
08/29/2014
Last updated
03/12/2025
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