Organization
HEALING ROCK COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY JEAN KING PHD (ORGANIZATION OFFICIAL)
(907) 354-0439
Entity
Organization
Contact information
Practice address
11517 OLD GLENN HWY STE 204, EAGLE RIVER, AK 99577-7312
(907) 354-0439
(907) 689-7625
Mailing address
23450 GLACIER VIEW DR, EAGLE RIVER, AK 99577-9617
(907) 354-0439
(907) 689-7625
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275165763
—
AK
05
—
1871780452
—
AK
Enumeration date
07/24/2024
Last updated
07/24/2024
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