Organization
JOVIAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PALACIOS LCSW (PROVIDER / OWNER)
(907) 953-3257
Entity
Organization
Contact information
Practice address
43335 K BEACH RD STE 16, SOLDOTNA, AK 99669-8250
(907) 953-3257
Mailing address
33120 SKYLINE DR, SOLDOTNA, AK 99669-9231
(907) 953-3257
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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