Providence Kodiak Island Counseling Center
Providence Kodiak Island Counseling Center is a Community/Behavioral Health Agency in Kodiak, Alaska. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
717 E Rezanof DrKodiak, AK 99615-6416
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 |
|---|
Record details
| NPI number | 1376141929 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| NPI enumerated | October 15, 2020 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
| Mailing address | Po Box 3290, Portland, OR 97208-3290 |