Upstream Counseling Llc | |
741 Sesame St Ste 1b Anchorage AK 99503-6657 | |
(907) 444-4867 | |
(844) 628-1611 |
Full Name | Upstream Counseling Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 741 Sesame St Ste 1b, Anchorage, Alaska |
Authorized Official Name and Position | Maria Lynn Ballard (CEO) |
Authorized Official Contact | 9072979639 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Upstream Counseling Llc 741 Sesame St Ste 1b Anchorage AK 99503-6657 Ph: (907) 444-4867 | Upstream Counseling Llc 741 Sesame St Ste 1b Anchorage AK 99503-6657 Ph: (907) 444-4867 |
NPI Number | 1376030288 |
---|---|
Provider Enumeration Date | 04/16/2018 |
Last Update Date | 10/03/2022 |
Certification Date | 10/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376030288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1069542 (Alaska) | Primary |
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