Organization
ALASKA COUNSELOR LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH BULLOCK LPC (OWNER)
(907) 220-6090
Entity
Organization
Contact information
Practice address
1200 TONGASS AVE, KETCHIKAN, AK 99901-6136
(907) 220-6090
Mailing address
410 TOWER RD, KETCHIKAN, AK 99901-5357
(907) 220-6090
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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