Individual provider · Type 1 NPI

Tacoma Coronel

Mental Health Counselor · Ketchikan, AK

NPI number 1508634064 Active

Practice location

2514 First Ave
Ketchikan, AK 99901-5804

Call (907) 225-4664 Map

Mailing address

PO Box 7475
Ketchikan, AK 99901-2475

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508634064

Tacoma Coronel's National Provider Identifier is 1508634064, issued on Dec 14, 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 14, 2023.