MEDICARE: MRS. KARIN ALASKA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1043872161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KARIN ALASKA

Provider Business Mailing Address
First Line	:	7610 DOWNYWOOD CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-6618
Country	:	US
Telephone Number	:	719-510-1018
Fax Number	:

Provider Business Practice Location Address
First Line	:	7610 DOWNYWOOD CT
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-6618
Country	:	US
Telephone Number	:	719-510-1018
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2019
Last Update Date	:	06/29/2019

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