Organization
GOOD SAMARITAN COUNSELING CENTER
Active
Other names
UHS Good Samaritan Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE FISSORI (CFO)
(907) 264-3525
Entity
Organization
Contact information
Practice address
4241 B ST, SUITE 100, ANCHORAGE, AK 99503-5920
(907) 565-4000
(907) 565-4011
Mailing address
2530 DEBARR RD, ANCHORAGE, AK 99508-2996
(907) 264-3595
(907) 264-3515
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
2817
AK
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
54965
AK
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
435
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH6578
—
AK
05
—
MH9217
—
AK
Enumeration date
06/19/2006
Last updated
12/11/2008
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