Healthcare Provider Details
I. General information
NPI: 1518880830
Provider Name (Legal Business Name): HOPE COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
406 ALASKA AVE
WRANGELL AK
99929-2204
US
IV. Provider business mailing address
PO BOX 2204
WRANGELL AK
99929-2204
US
V. Phone/Fax
- Phone: 907-388-4287
- Fax:
- Phone: 907-388-4287
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOHN
R
DERUYTER
Title or Position: ADMINISTRATOR
Credential:
Phone: 907-388-4287