NPI 1992412324 · live from the CMS NPI Registry
Jason Anderson
Counselor, Mental Health in Ketchikan, AK. National Provider Identifier 1992412324, active.
NPI record
| NPI | 1992412324 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 2281 Oyster Ave, Ketchikan, AK 99901 |
| Practice phone | 907-617-6215 |
| Mailing address | Po Box 7475, Ketchikan, AK 99901 |
| Enumerated | November 4, 2022 |
| Last updated | November 4, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.