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Individual

JAMES M PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, CDC II, MAC

Contact information

Practice address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-7385
(907) 486-7398
Mailing address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-7385
(907) 486-7398

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3962
AK
101YP2500X
Professional Counselor
Primary
163166
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163166
ALASKA LICENSED PROFESSIONAL COUNSELOR
AK
05
MH2237
AK
Enumeration date
08/09/2013
Last updated
08/06/2020
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