Organization
ALASKA MARRIAGE & FAMILY THERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HAMILTON (OFFICE MANAGER)
(907) 782-9123
Entity
Organization
Contact information
Practice address
1205 E INTERNATIONAL AIRPORT RD STE 100, ANCHORAGE, AK 99518-1409
(907) 570-6382
(888) 972-3679
Mailing address
1205 E INTERNATIONAL AIRPORT RD STE 100, ANCHORAGE, AK 99518-1409
(907) 570-6382
(888) 972-3679
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
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
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169239
ALASKA BUSINESS LICENSE
AK
Enumeration date
12/13/2022
Last updated
12/06/2024
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