NPI 1285234419 · live from the CMS NPI Registry
Amanda Paulette Alguire-Gannon, LMSW
Counselor, Mental Health in Ketchikan, AK. National Provider Identifier 1285234419, active.
NPI record
| NPI | 1285234419 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 540 Water St Ste 303, Ketchikan, AK 99901 |
| Practice phone | 360-726-3108 |
| Mailing address | 3219 Tide Ave, Ketchikan, AK 99901 |
| Enumerated | October 27, 2020 |
| Last updated | September 17, 2026 |
| Sole proprietor | No |
| Other names | Amanda Gannon |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 215055 (AK) |
| Counselor, Mental Health primary | 101YM0800X | 215055 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.