MEDICARE: NOREEN INOKE

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	:	1619619533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOREEN INOKE

Provider Business Mailing Address
First Line	:	1709 BRAGAW ST
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-3436
Country	:	US
Telephone Number	:	907-562-5340
Fax Number	:	907-563-6922

Provider Business Practice Location Address
First Line	:	1317 LATOUCHE ST APT 1
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99501-4742
Country	:	US
Telephone Number	:	907-268-8910
Fax Number	:

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

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	04/11/2022

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Directions to “ NOREEN INOKE ” Practice Location

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