Marcie Kookesh
Individual provider Active NPI Counselor · Angoon, AK
NPI 1326418567 · NPPES record last updated Sep 30, 2015
Key facts
- NPI
- 1326418567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 725 Relay Rd
Angoon, AK 99820-0725 - Phone
- (907) 788-4632
- Fax
- (907) 788-3180
- NPI assigned
- Sep 30, 2015
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | AK | Yes |
Addresses
Primary practice location
725 Relay Rd
Angoon, AK 99820-0725
Mailing address
PO Box 290
Angoon, AK 99820-0290
Phone (907) 788-4632
Other providers in Angoon, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2015. 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.