Organization
WISDOM TRADITIONS COUNSELING SERVICES, LLC
Active
Parent organization
WISDOM TRADITIONS COUNSELING SERVICES, LLC
Other names
Alaska Wisdom Recovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
WISDOM TRADITIONS COUNSELING SERVICES, LLC
Authorized official
MR. MICHAEL W. DEMOLINA MS, LPC (OWNER)
(907) 562-4540
Entity
Organization
Contact information
Practice address
401 W INTERNATIONAL RD STE 27, ANCHORAGE, AK 99518-1168
(907) 562-4540
(907) 562-4502
Mailing address
401 W INTERNATIONAL RD, STE 17, ANCHORAGE, AK 99518-1181
(907) 770-3656
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/08/2008
Last updated
08/26/2019
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