Provider Demographics
NPI:1124646641
Name:ALASKA ART THERAPY AND COUNSELING
Entity type:Organization
Organization Name:ALASKA ART THERAPY AND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALPER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-796-9044
Mailing Address - Street 1:1107 W 8TH ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1853
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1107 W 8TH ST UNIT 5
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1853
Practice Address - Country:US
Practice Address - Phone:907-796-9044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health