Individual provider · Type 1 NPI

Anthony Gastelum

Counselor · Kake, AK

NPI number 1497125637 Active

Practice location

101 Totem St., Kake Clinic
Kake, AK 99830

Fax (907) 785-3350

Mailing address

PO Box 589
Kake, AK 99830-0589

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Counselor Primary 101Y00000X101YA0400X (AK)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

About NPI 1497125637

Anthony Gastelum's National Provider Identifier is 1497125637, issued on Sep 30, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kake, AK. The record was last updated on Sep 30, 2015.