NPI Code Details Logo

NPI 1700729415

NPI 1700729415 : TEEJUH BEHAVIORAL HEALTH & COUNSELING : DELTA JUNCTION, AK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700729415
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TEEJUH BEHAVIORAL HEALTH & COUNSELING 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/09/2026
-----------------------------------------------------
    Last Update Date     |    04/09/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7 CHARLES ST 
-----------------------------------------------------
    City                 |    DELTA JUNCTION
-----------------------------------------------------
    State                |    AK
-----------------------------------------------------
    Zip                  |    99737-0320
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    907-882-2695
-----------------------------------------------------
    Fax                  |    907-882-5558
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 70488 
-----------------------------------------------------
    City                 |    FAIRBANKS
-----------------------------------------------------
    State                |    AK
-----------------------------------------------------
    Zip                  |    99707-0488
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    907-882-5555
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PROGRAM DIRECTOR
-----------------------------------------------------
    Name                 |     SALLETTE ANN THOMPSON 
-----------------------------------------------------
    Credential           |    PSYD
-----------------------------------------------------
    Telephone            |    907-590-9468
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103TC0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.