Organization
HOPE HOLDERS KETCHIKAN
Active
Other names
Hope Holders Alaska
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DAVID SUNDEEN LPC (EXECUTIVE CLINICAL DIRECTOR)
(907) 821-4674
Entity
Organization
Contact information
Practice address
3175 JACKSON HEIGHTS ST, KETCHIKAN, AK 99901-5782
(907) 617-1378
Mailing address
3175 JACKSON HEIGHTS ST, KETCHIKAN, AK 99901-5782
(907) 617-1378
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/12/2023
Last updated
12/30/2023
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