Organization
CITY OF VALDEZ
Active
Other names
Providence Valdez Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
911 MEALS AVENUE, VALDEZ, AK 99686
(907) 835-2838
(907) 834-1890
Mailing address
PO BOX 550, VALDEZ, AK 99686-0550
(907) 835-2838
(907) 834-1890
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
NOT NUMBERED
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH2096
—
AK
Enumeration date
04/06/2007
Last updated
05/15/2025
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