Organization · Type 2 NPI

Hope Holders Ketchikan

Mental Health Counselor · Ketchikan, AK

NPI number 1245919794 Active

Practice location

3175 Jackson Heights St
Ketchikan, AK 99901-5782

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Mental Health Counselor Primary	101YM0800X	None listed
Peer Specialist	175T00000X	None listed

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NPI record

NPI: 1245919794
Entity type: Organization (Type 2)
Issued: Jul 12, 2023
Last updated: Dec 30, 2023
Status: Active

Other names

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Hope Holders Alaska · other name
Hope Holders Alaska · other name

Authorized official

Mr. John David Sundeen, LPC
Executive Clinical Director
(907) 821-4674

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245919794

Hope Holders Ketchikan's National Provider Identifier is 1245919794, issued on Jul 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ketchikan, AK. The record was last updated on Dec 30, 2023.