| Mr Joseph J Cannava, MS,LPCS, CDCS | |
|
508 Upland St, Kenai, AK 99611-8026 | |
| (907) 335-7500 | |
| (888) 334-8293 |
| Full Name | Mr Joseph J Cannava |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 508 Upland St, Kenai, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821180456 | NPI | - | NPPES |
| 1712923 | Medicaid | AK | |
| MHO156 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 482 (Alaska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 482 (Alaska) | Primary |
| Entity Name | Kenaitze Indian Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932114600 PECOS PAC ID: 4082506225 Enrollment ID: O20040325000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joseph J Cannava, MS,LPCS, CDCS 37426 Denise Lake Dr, Soldotna, AK 99669-9087 Ph: (907) 598-0030 | Mr Joseph J Cannava, MS,LPCS, CDCS 508 Upland St, Kenai, AK 99611-8026 Ph: (907) 335-7500 |
Emily Anne Haakenson Remmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 Marine Ave, Kenai, AK 99611 Phone: 907-398-0528 | |
Tanya Almaraz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500 | |
Skyler Shay Diehl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500 | |
Rachel Marie Minkel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 Upland St, Kenai, AK 99611 Phone: 907-335-7500 | |
Wendy Kay Dial, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10200 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-283-3658 Fax: 907-283-5046 | |
Linda May Perry, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 506 Lake St, Kenai, AK 99611 Phone: 907-283-7501 Fax: 907-283-9006 | |
Alecia Ann Gottlob, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 10200 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-283-3658 Fax: 907-283-5046 |