| Ms Cecilie Dawn Cody, MAAT, LPC | |
|
2524 1st Avenue, Ketchikan, AK 99901 | |
| (907) 202-8741 | |
| (907) 202-8741 |
| Full Name | Ms Cecilie Dawn Cody |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2524 1st Avenue, Ketchikan, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407066749 | NPI | - | NPPES |
| Entity Name | Thriveworks Clinical - Alaska Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295452845 PECOS PAC ID: 9234504655 Enrollment ID: O20230417000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Cecilie Dawn Cody, MAAT, LPC Po Box 7475, Ketchikan, AK 99901 Ph: (907) 225-4664 | Ms Cecilie Dawn Cody, MAAT, LPC 2524 1st Avenue, Ketchikan, AK 99901 Ph: (907) 202-8741 |
Ms. Candice Jillian Duckworth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3050 Fifth Ave Ste 100, Ketchikan, AK 99901 Phone: 907-463-0627 | |
James Michael Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 Stedman St, Ketchikan, AK 99901 Phone: 907-225-7825 Fax: 907-225-1541 | |
Jennifer Morneau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 Hill Rd, Ketchikan, AK 99901 Phone: 907-202-8727 | |
Harold English, Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 Stedman St, Ketchikan, AK 99901 Phone: 907-225-7825 Fax: 907-225-1541 | |
Alice Weisgram, Counselor Medicare: Not Enrolled in Medicare Practice Location: 721 Stedman St, Ketchikan, AK 99901 Phone: 907-225-7825 Fax: 907-225-1541 | |
Mr. James Edward Mcdonald Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 First Ave, Ketchikan, AK 99901 Phone: 907-225-4664 Fax: 907-885-6613 | |
Ms. Amber Lynn Machado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 Hill Rd, Ketchikan, AK 99901 Phone: 907-617-9211 Fax: 907-885-6613 |