Organization
ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY JENKINS (CEO)
(907) 561-0954
Entity
Organization
Contact information
Practice address
4045 LAKE OTIS PKWY, STE 101, ANCHORAGE, AK 99508-5211
(907) 561-5094
(907) 561-7093
Mailing address
4045 LAKE OTIS PKWY, STE 101, ANCHORAGE, AK 99508-5211
(907) 561-0954
(907) 561-7093
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
101YP1600X
AK
Other
Enumeration date
09/17/2006
Last updated
06/17/2008
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