Perry Bauer, M. DIV., CDCS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Seward, AK
NPI 1326404286 · NPPES record last updated Jan 7, 2016
Key facts
- NPI
- 1326404286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 4117 (AK)
- Practice address
- 301 Railway Ave
Seward, AK 99664-3801 - Phone
- (907) 224-5257
- Fax
- (907) 224-7081
- NPI assigned
- Jan 7, 2016
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4117 | AK | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4117 | AK | Yes |
Addresses
Primary practice location
301 Railway Ave
Seward, AK 99664-3801
Mailing address
PO Box 1045
Seward, AK 99664-1045
Phone (907) 224-5257
Other providers in Seward, AK
- Arctic Chiropractic Seward
- Taylor Brianne Arrowood
- Tammy Backus
- Ansel Baker
- Levi Baron
- Anna Louise Baylis
- Bear Lake Assisted Living Home
- Behind the Sun Therapeutics, LLC
- Behind the Sun Therapeutics, LLC
- Damen Bell
All providers in Seward, AK · Addiction (Substance Use Disorder) 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 Jan 7, 2016. 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.