Individual provider · Type 1 NPI
Scott Alen Kotulak, BA IN PSYCHOLOGY
Mental Health Clinic/Center (Including Community Mental Health Center) · Anchorage, AK
NPI number
1114571858
Active
Practice location
1650 Bragaw St
Anchorage, AK 99508-3435
Mailing address
11351 Discovery View Dr Apt 102A
Anchorage, AK 99515-2753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1114571858
Scott Alen Kotulak, BA IN PSYCHOLOGY's National Provider Identifier is 1114571858, issued on Jul 31, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Anchorage, AK. The record was last updated on Jul 31, 2019.