| Hope Holders Ketchikan | |
|
3175 Jackson Heights St Ketchikan AK 99901-5782 | |
| (907) 617-1378 | |
| Not Available |
| Full Name | Hope Holders Ketchikan |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3175 Jackson Heights St, Ketchikan, Alaska |
| Authorized Official Name and Position | John David Sundeen (EXECUTIVE CLINICAL DIRECTOR) |
| Authorized Official Contact | 9078214674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Holders Ketchikan 3175 Jackson Heights St Ketchikan AK 99901-5782 Ph: (907) 617-1378 | Hope Holders Ketchikan 3175 Jackson Heights St Ketchikan AK 99901-5782 Ph: (907) 617-1378 |
| NPI Number | 1245919794 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 12/30/2023 |
| Certification Date | 12/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245919794 | NPI | - | NPPES |
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