Individual
ERIC M UNRUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
17105 PARK PLACE ST, EAGLE RIVER, AK 99577-7821
(907) 622-1002
(907) 622-8808
Mailing address
17105 PARK PLACE STREET, EAGLE RIVER, AK 99577
(907) 622-1002
(907) 622-8808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
647
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH3681
—
AL
Enumeration date
05/15/2006
Last updated
07/21/2022
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