Katharine Bannon
Individual provider Active NPI Mental Health Counselor · Wasilla, AK
NPI 1336747823 · NPPES record last updated Oct 15, 2020
Key facts
- NPI
- 1336747823
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 291 E Swanson Ave
Wasilla, AK 99654-7004 - Phone
- (907) 376-3275
- NPI assigned
- Oct 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denali Family Services | Current |
Accepting new patients |
Locations
291 E Swanson Ave
Wasilla, AK 99654
Phone (907) 274-8281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
291 E Swanson Ave
Wasilla, AK 99654-7004
Mailing address
291 E Swanson Ave
Wasilla, AK 99654-7004
Other providers in Wasilla, AK
- Lyda A Baker
- Megan Baker
- Bald Mountain View Assisted Living Home
- Krystal L. Banks
- Sarah Anne Bannister
- Banyan Alaska, LLC
- Monet Dolphene Barbee
- Morgan Anastasia Barker
- David L Barnes
- Juliah Barnett
All providers in Wasilla, 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 Oct 15, 2020. 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.