Organization
BOREAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RILEY JOHN HALL MA LPC (OWNER/DIRECTOR)
(907) 723-1308
Entity
Organization
Contact information
Practice address
HC 60 BOX 2555, HAINES, AK 99827-9701
(907) 723-1308
(907) 531-8865
Mailing address
HC 60 BOX 2555, HAINES, AK 99827-9701
(907) 723-1308
(907) 531-8865
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
07/30/2024
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