Individual
CALEB CHANCE CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2330 NICHOLS ST, ANCHORAGE, AK 99508-3458
(907) 279-6617
Mailing address
2330 NICHOLS ST, ANCHORAGE, AK 99508-3458
(907) 279-6617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021041
—
AK
Enumeration date
02/14/2008
Last updated
10/01/2020
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