Organization
KENAI PENINSULA MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E KUEPPER L.P.C-S (OWNER/PROVIDER)
(907) 531-6047
Entity
Organization
Contact information
Practice address
133 SMITH WAY UNIT C, SOLDOTNA, AK 99669-8077
(907) 531-6047
(907) 531-3886
Mailing address
PO BOX 2653, SOLDOTNA, AK 99669-2653
(907) 531-3886
(907) 531-3886
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
08/11/2021
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