Organization
PETERSBURG MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ANITA RODRIGUEZ MSW (BEHAVIORAL HEALTH CLINICIAN)
(907) 772-3332
Entity
Organization
Contact information
Practice address
201 NORTH NORDIC DRIVE, PETERSBURG, AK 99833
(907) 772-3332
Mailing address
P.O. BOX 1309, PETERSBURG, AK 99833
(907) 772-3332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1224
AK
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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