Organization · Type 2 NPI
Set Free Alaska, Inc.
Addiction Medicine (Preventive Medicine) Physician · Wasilla, AK
NPI number
1053188508
Active
Practice location
7010 E Bogard Rd Bldg 2
Wasilla, AK 99654-4711
Fax (907) 476-4749
Mailing address
PO Box 876741
Wasilla, AK 99687-6741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | None listed |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
18 other providers at this address
- Set Free Alaska, Inc.Community/Behavioral Health Agency Wasilla, AK NPI 1346886660
- Amy SmithAddiction (Substance Use Disorder) Counselor Wasilla, AK NPI 1609548395
- Catherine RogersAddiction (Substance Use Disorder) Counselor Wasilla, AK NPI 1801568373
- Emily ChapmanPeer Specialist Wasilla, AK NPI 1356915110
- Heidi R. McClureMental Health Counselor Wasilla, AK NPI 1235795030
- Hillary RowbothamAddiction (Substance Use Disorder) Counselor Wasilla, AK NPI 1881366151
- Jamie BottomsAddiction (Substance Use Disorder) Counselor Wasilla, AK NPI 1740855238
- Jennifer BourneAddiction (Substance Use Disorder) Counselor Wasilla, AK NPI 1801540356
- Judith Faith HorcsikMental Health Counselor Wasilla, AK NPI 1699444588
- Kelly BettisPeer Specialist Wasilla, AK NPI 1720750292
- Kelly ShaferAddiction (Substance Use Disorder) Counselor Wasilla, AK NPI 1639832967
- Kristal M. HermonAddiction (Substance Use Disorder) Counselor Wasilla, AK NPI 1588328165
About NPI 1053188508
Set Free Alaska, Inc.'s National Provider Identifier is 1053188508, issued on Dec 5, 2023. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Wasilla, AK. The record was last updated on Aug 20, 2024.