Individual
MR. WILLIAM PERRY-CONRAD CANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2514 FIRST AVE, KETCHIKAN, AK 99901-5804
(907) 225-4664
(907) 885-6613
Mailing address
PO BOX 7475, KETCHIKAN, AK 99901-2475
(907) 225-4664
(907) 885-6613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021118
—
AK
05
—
1584706
—
AK
Enumeration date
11/24/2020
Last updated
11/24/2020
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