Individual
ROY PENTECOSTES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS
Contact information
Practice address
3760 PIPER ST STE LL139, ANCHORAGE, AK 99508-4683
(907) 563-5006
(907) 563-3217
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AK
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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