Organization
COMMUNITY CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JOHNSON (QUALITY ASSURANCE COORDINATOR)
(907) 220-6117
Entity
Organization
Contact information
Practice address
721 STEDMAN ST, KETCHIKAN, AK 99901-6632
(907) 220-6117
Mailing address
721 STEDMAN ST, KETCHIKAN, AK 99901-6632
(907) 220-6117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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