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MARCIE KOOKESH

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1326418567

Individual Registrant:
 MARCIE  KOOKESH 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
725 RELAY RD  ANGOON, AK 99820-0725 US
Tel: 907-788-4632  Fax: 907-788-3180

Contact information for business:
PO BOX 290  ANGOON, AK 99820-0290 US
Tel: 907-788-4632  Fax: 907-788-3180

Registration Information:
NPI: 1326418567
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
AK

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1



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