Kathryn Marie Chapman, MSW, CDCI

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Juneau, AK

NPI 1124415989 · NPPES record last updated May 3, 2017

Key facts

NPI
1124415989
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
3986 (AK)
Practice address
9000 Glacier Hwy
Juneau, AK 99801-8097
Phone
(907) 321-1912
NPI assigned
Apr 20, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3986AKMDAddiction (Substance Use Disorder) Counselor
112367AKMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 3986 AK Yes
Clinical Social Worker 1041C0700X 112367 AK

Addresses

Primary practice location

9000 Glacier Hwy
Juneau, AK 99801-8097

Mailing address

2927 Simpson Ave
Juneau, AK 99801-2046
Phone (907) 321-1912

Other providers in Juneau, AK

All providers in Juneau, AK · Addiction (Substance Use Disorder) Counselor in Alaska

Sources for this page

Verify at the official NPI Registry.