Providence Kodiak Island Counseling Center is a Psychiatry Clinic in Kodiak, Alaska. It is located at 1818 E Rezanof Dr, Kodiak, AK and its contact number is 907-481-2400. The authorized person for Providence Kodiak Island Counseling Center is Mr. Donald Wayne Anderson Jr.
who is Assistant Secretary Of Enrollments of the clinic and his/her contact number is 425-525-5392. The primary license number for Providence Kodiak Island Counseling Center is 297340 (Community/behavioral Health) in Alaska. Providence Kodiak Island Counseling Center Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
Providence Kodiak Island Counseling Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Providence Kodiak Island Counseling Center
Specialization:
Psychiatry
Clinic Address:
1818 E Rezanof Dr, Kodiak, Alaska, 99615-6505
Phone:
907-481-2400
Fax:
907-481-2419
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Donald Wayne Anderson Jr.
Position:
Assistant Secretary Of Enrollments
Contact Number:
425-525-5392
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Kodiak Island Counseling Center clinic are as mentioned below.
NPI Number:
1477563344
NPI Enumeration Date:
09 Aug, 2006
NPI Last Update On:
23 May, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Kodiak Island Counseling Center are as mentioned below.
Specialization
License Number
State
Status
Community/behavioral Health
297340
Alaska
Primary
Addiction (Substance Use Disorder)
297340
Alaska
Secondary
Clinical
297340
Alaska
Secondary
Case Manager/care Coordinator
297340
Alaska
Secondary
Psychiatry
297340
Alaska
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
MH 2237 & DA2237
Medicaid
Alaska
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Kodiak Island Counseling Center Po Box 3290, Portland, Oregon
Zip:
97208-3290
Phone Number:
907-486-9500
Fax Number:
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Patients can reach Providence Kodiak Island Counseling Center at 1818 E Rezanof Dr, Kodiak, Alaska or can call to book an appointment on 907-481-2400. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.