Organization
WELLSPRING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN C JAEGER (OFFICE MANAGER)
(907) 789-1812
Entity
Organization
Contact information
Practice address
2231 JORDAN AVE, JUNEAU, AK 99801-8050
(907) 789-1812
(907) 789-7168
Mailing address
2231 JORDAN AVE, JUNEAU, AK 99801-8050
(907) 789-1812
(907) 789-7168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175F00000X
Naturopath
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
10/26/2007
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