Healthcare Provider Details

I. General information

NPI: 1255175972
Provider Name (Legal Business Name): SALISSA VICTORIA TONKIN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2024
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 LINCOLN ST
SITKA AK
99835-7651
US

IV. Provider business mailing address

PO BOX 1584
SITKA AK
99835-1584
US

V. Phone/Fax

Practice location:
  • Phone: 907-747-3687
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: