NPI 1669788212 · live from the CMS NPI Registry
Kennith E Mccarty
Marriage & Family Therapist in Kodiak, AK. National Provider Identifier 1669788212, active.
NPI record
| NPI | 1669788212 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 2975 Mill Bay Rd., Suite B, Kodiak, AK 99615 |
| Practice phone | 907-487-2223 |
| Mailing address | 1423 Simeonoff Street, Kodiak, AK 99615 |
| Enumerated | August 20, 2010 |
| Last updated | August 20, 2010 |
| Authorized official | Ken Mccarty, Executive Director |
| Other names | Ken Mccarty, Lmft Discovery Cove Recovery & Wellness Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 237 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.