Organization
TELEBEHAVIORAL MEDICINE ASSOCIATES INC.
Active
Organization
TELEBEHAVIORAL MEDICINE ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT SCHWAGER PH.D (DIRECTOR)
(907) 715-7391
Entity
Organization
Contact information
Practice address
TELEBEHAVIORAL SERVICES, WILLOW, AK 99688-0522
(907) 715-7391
(907) 495-1283
Mailing address
PO BOX 522, WILLOW, AK 99688-0522
(907) 715-7391
(907) 495-1283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/14/2020
Last updated
09/16/2020
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