Organization
TRINITY FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA RAGAN LCSW (OWNER)
(907) 696-5656
Entity
Organization
Contact information
Practice address
17045 CORONADO RD, EAGLE RIVER, AK 99577-7825
(907) 696-5656
Mailing address
17045 CORONADO RD, EAGLE RIVER, AK 99577-7825
(907) 696-5656
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265191357
—
AK
05
—
1992932685
—
AK
Enumeration date
07/15/2022
Last updated
07/15/2022
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