Organization
BOREALIS BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA TERESE MINER-COLLINS LMFT (MEMBER)
(907) 745-7080
Entity
Organization
Contact information
Practice address
634 S BAILEY ST, SUITE 207, PALMER, AK 99645-6330
(907) 745-7080
(907) 745-6263
Mailing address
634 S BAILEY ST, SUITE 207, PALMER, AK 99645-6330
(907) 745-7080
(907) 745-6263
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
77
AK
106H00000X
Marriage & Family Therapist
86
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
241
AK
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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