Providence Health & Services Washington
Providence Health & Services Washington is an Addiction (Substance Use Disorder) Counselor in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2006.
- Licensed in
- AK
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
1818 E Rezanof DrKodiak, AK 99615-6505
Phone: (907) 481-2400
Fax: (907) 481-2419
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 297340 (AK) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 297340 (AK) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 297340 (AK) |
| Case Manager/Care Coordinator | Taxonomy 171M00000X · Licence 297340 (AK) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 297340 (AK) |
Record details
| NPI number | 1477563344 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| Other names | Providence Kodiak Island Counseling Center; Providence Kodiak Island Counseling Center |
| NPI enumerated | August 9, 2006 |
| Last updated in NPPES | June 30, 2026 |
| Certification date | June 30, 2026 |
| Mailing address | Po Box 31001-4162, Pasadena, CA 91110-4162 |
Other providers in Kodiak
-
Kailey Elaine McNeil, LMSW
3449 E Rezanof Dr, Kodiak, AK 99615-6952 · (907) 486-9800
-
Gregory William Parker, CT
3439 Rezanoff Dr, Kodiak, AK 99615 · (907) 286-2258
-
Crystaleigh Peacor
3449 E Rezanof Dr, Kodiak, AK 99615-6952 · (907) 486-9800
-
James M Price, LPC, CDCII, MAC
3449 E Rezanof Dr, Kodiak, AK 99615-6952 · (907) 486-7385
-
Jonathan Strong, RAS
717 Rezanof Dr E, Kodiak, AK 99615-6416 · (907) 481-2400