Healthcare Provider Details

I. General information

NPI: 1700729415
Provider Name (Legal Business Name): TEEJUH BEHAVIORAL HEALTH & COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CHARLES ST
DELTA JUNCTION AK
99737-0320
US

IV. Provider business mailing address

PO BOX 70488
FAIRBANKS AK
99707-0488
US

V. Phone/Fax

Practice location:
  • Phone: 907-882-2695
  • Fax: 907-882-5558
Mailing address:
  • Phone: 907-882-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SALLETTE ANN THOMPSON
Title or Position: PROGRAM DIRECTOR
Credential: PSYD
Phone: 907-590-9468