Organization · NPI-2
Blue Spruce Counseling Services
Clinic/Center, Adult Mental Health · Palmer, AK
NPI number1245949478
StatusActive
Last updated in NPPESNov 16, 2022
Details
- NPI
- 1245949478
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Spruce Counseling Services
- Organization subpart
- No
- Enumeration date
- Nov 16, 2022
- Certification date
- Nov 16, 2022
- Last updated
- Nov 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Other names
- Blue Spruce Counseling (Doing Business As)
Practice location
247 S Alaska St Ste APalmer, AK 99645-6335
Phone 907-434-1079
Mailing address
Po Box 870758Wasilla, AK 99687-0758
Phone 907-434-1079
Authorized official
Kathryn J Hall
Owner
9074341079
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