Ms Shirley Ketah, MS, CDC1 - Counselor in Anchorage, AK

Ms Shirley Ketah, MS, CDC1 is a Counselor - Addiction (substance Use Disorder) based in Anchorage, Alaska. Ms Shirley Ketah is licensed to practice in Alaska (license number 4099) and her current practice location is 121 W Fireweed Ln, Anchorage, Alaska. She can be reached at her office (for appointments etc.) via phone at (907) 865-9653.

NPI number for Ms Shirley Ketah is 1033617444 and her current mailing address is 11408 Heritage Ct Apt 7, Eagle River, Alaska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033617444.

Contact Information

Ms Shirley Ketah, MS, CDC1
121 W Fireweed Ln,
Anchorage, AK 99503-2053
(907) 865-9653
Not Available

Healthcare Provider's Profile

Full NameMs Shirley Ketah
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location121 W Fireweed Ln, Anchorage, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033617444
  • Provider Enumeration Date: 01/31/2018
  • Last Update Date: 01/31/2018

Medical Identifiers

Medical identifiers for Ms Shirley Ketah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033617444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (New Hampshire)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 4099 (Alaska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shirley Ketah is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Shirley Ketah, MS, CDC1
11408 Heritage Ct Apt 7,
Eagle River, AK 99577-7778

Ph: (907) 854-6997
Ms Shirley Ketah, MS, CDC1
121 W Fireweed Ln,
Anchorage, AK 99503-2053

Ph: (907) 865-9653

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› Verified 5 days ago


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