| Kevin Enloe, | |
|
3406 Glacier Hwy, Juneau, AK 99801-7251 | |
| (907) 463-3303 | |
| (907) 463-6858 |
| Full Name | Kevin Enloe |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 3406 Glacier Hwy, Juneau, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841731858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Ah Addiction Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295516128 PECOS PAC ID: 2668916214 Enrollment ID: O20240708000175 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Enloe, 3406 Glacier Hwy, Juneau, AK 99801-7251 Ph: (907) 463-3303 | Kevin Enloe, 3406 Glacier Hwy, Juneau, AK 99801-7251 Ph: (907) 463-3303 |
Sanaz Ghorbanpoor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3406 Glacier Hwy, Juneau, AK 99801 Phone: 907-463-3303 | |
Lila A Searer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3406 Glacier Hwy, Juneau, AK 99801 Phone: 907-463-3303 Fax: 907-463-6858 | |
Leslye Ann Galey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3260 Hospital Dr, Juneau, AK 99801 Phone: 907-796-8498 | |
Kayli Backes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3406 Glacier Hwy, Juneau, AK 99801 Phone: 907-463-3303 Fax: 907-463-6858 | |
Emily Keithahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9191 James Blvd, Juneau, AK 99801 Phone: 907-723-3591 | |
Justin Parish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3406 Glacier Hwy, Juneau, AK 99801 Phone: 907-463-3303 | |
Ms. Donna M Zahina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5594 Aisek St., Juneau, AK 99801 Phone: 907-780-3048 Fax: 907-780-3053 |