| Rebel Heart Healing | |
|
1601 Salmon Creek Ln Ste B Juneau AK 99801-7867 | |
| (907) 419-8254 | |
| Not Available |
| Full Name | Rebel Heart Healing |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1601 Salmon Creek Ln Ste B, Juneau, Alaska |
| Authorized Official Name and Position | Michelle Anne Beaulieu (PRESIDENT) |
| Authorized Official Contact | 9074198254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebel Heart Healing 2800 Peters Ln Apt C Juneau AK 99801-2037 Ph: (907) 419-8254 | Rebel Heart Healing 1601 Salmon Creek Ln Ste B Juneau AK 99801-7867 Ph: (907) 419-8254 |
| NPI Number | 1962919423 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 01/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962919423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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