Healthcare Provider Details

I. General information

NPI: 1013851898
Provider Name (Legal Business Name): RYLEE MAGANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 UPLAND ST
KENAI AK
99611-8026
US

IV. Provider business mailing address

PO BOX 84101
SEATTLE WA
98124-5401
US

V. Phone/Fax

Practice location:
  • Phone: 907-335-7500
  • Fax:
Mailing address:
  • Phone: 907-335-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: