Organization
JETT MORGAN TREATMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JETT AAS, CDC II, BHC II (DIRECTOR OF OPERATIONS, OWNER)
(907) 677-7709
Entity
Organization
Contact information
Practice address
4701 BUSINESS PARK BLVD STE J20, ANCHORAGE, AK 99503-7170
(907) 677-7709
(907) 677-7095
Mailing address
400 W TUDOR RD, #A-400, ANCHORAGE, AK 99503-6614
(907) 677-7709
(907) 677-7095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
954236
AK
251S00000X
Community/Behavioral Health Agency
954236
AK
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
954236
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1688197
—
AK
Enumeration date
07/01/2011
Last updated
05/17/2022
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