Healthcare Provider Details
I. General information
NPI: 1942189238
Provider Name (Legal Business Name): WES JOOLS & COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1441 W NORTHERN LIGHTS BLVD STE G
ANCHORAGE AK
99503-2324
US
IV. Provider business mailing address
3705 ARCTIC BLVD # 402
ANCHORAGE AK
99503-5774
US
V. Phone/Fax
- Phone: 907-267-9066
- Fax:
- Phone: 773-301-1990
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 221700000X |
| Taxonomy | Art Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LESLIE
ROBERTSON
Title or Position: OWNER AND MANAGING MEMBER
Credential: PHD, LPC, ATR-BC, NC
Phone: 907-267-9066