Healthcare Provider Details

I. General information

NPI: 1255692737
Provider Name (Legal Business Name): BARRETT NOEL HESSON M.S., L.P.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2012
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10928 EAGLE RIVER RD STE 254
EAGLE RIVER AK
99577-8080
US

IV. Provider business mailing address

10928 EAGLE RIVER RD STE 254
EAGLE RIVER AK
99577-8080
US

V. Phone/Fax

Practice location:
  • Phone: 907-696-0221
  • Fax:
Mailing address:
  • Phone: 907-696-0221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number174638
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: