Organization
E & A, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA R RONCO (BILLING MANAGER)
(907) 771-0536
Entity
Organization
Contact information
Practice address
8717 DIMOND D CIR, ANCHORAGE, AK 99515-1931
(907) 771-0536
(907) 771-0537
Mailing address
PO BOX 110986, ANCHORAGE, AK 99511-0986
(907) 771-0536
(907) 771-0537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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