Organization
CITY OF KETCHIKAN-GATEWAY CENTER FOR HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL AMYLON (CITY MANAGER)
(907) 225-3111
Entity
Organization
Contact information
Practice address
3050 5TH AVE, KETCHIKAN, AK 99901-5773
(907) 225-4135
(907) 247-4135
Mailing address
3050 5TH AVE, KETCHIKAN, AK 99901-5773
(907) 225-4135
(907) 247-4135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
AK
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AK
101YM0800X
Mental Health Counselor
—
AK
101YP2500X
Professional Counselor
—
AK
103TC0700X
Clinical Psychologist
—
AK
1041C0700X
Clinical Social Worker
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA4438
—
AK
05
—
DA7113
—
AK
05
—
MH0133
—
AK
Enumeration date
08/26/2005
Last updated
09/11/2025
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