Susan Brown
Individual provider Active NPI Mental Health Counselor · Ketchikan, AK
NPI 1184373136 · NPPES record last updated Mar 18, 2022
Key facts
- NPI
- 1184373136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 126 Washington St
Ketchikan, AK 99901-5954 - Phone
- (907) 225-3510
- NPI assigned
- Mar 18, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
126 Washington St
Ketchikan, AK 99901-5954
Mailing address
360 W Benson Blvd Ste 300
Anchorage, AK 99503-3953
Phone (907) 565-1200
Other practice location 1
3050 Fifth Ave
Ketchikan, AK 99901-5773
Phone (907) 225-4135
Other providers in Ketchikan, AK
- Elizabeth Boytz
- Alicia Kay Brakke
- Breaking Barriers LLC
- Nancy Bright
- Timothy Martin Brinker
- Jaime Browning
- Shaun Aurther Brynaert
- Grace Buendia
- Geoff Bullock
- Martha Bullock
All providers in Ketchikan, AK · Mental Health Counselor in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.