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Contact Information

BOREALIS BEHAVIORAL HEALTH
634 S BAILEY ST
SUITE 207
PALMER, AK99645-6330
 Phone: 907-745-7080
 Fax: 907-745-6263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BOREALIS BEHAVIORAL HEALTH · (Female)

NPI # 1508121096
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2012
Last updated 07/10/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • AK License # 241
  • AK License # 77
  • AK License # 86
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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