Alfred Ulroan
Individual provider Active NPI Mental Health Counselor · Chevak, AK
NPI 1457561904 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1457561904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- Tribal Office
Clinic
Chevak, AK 99563 - Phone
- (907) 858-7267
- Fax
- (907) 858-7027
- NPI assigned
- May 23, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
Tribal Office
Clinic
Chevak, AK 99563
Mailing address
PO Box 528
Bethel, AK 99559-0528
Phone (907) 543-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA4442 | Medicaid | AK |
Other providers in Chevak, AK
All providers in Chevak, 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 Jul 9, 2007. 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.