Organization
ALASKA TELETHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN M MAGONE MA LPC (OWNER / PROVIDER)
(907) 444-9134
Entity
Organization
Contact information
Practice address
3300 ARCTIC BLVD STE 201, ANCHORAGE, AK 99503-4579
(907) 444-9134
Mailing address
PO BOX 110225, ANCHORAGE, AK 99511-0225
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/04/2020
Last updated
12/09/2022
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