MEDICARE: MS. KATHRYN LOIS CARSSOW MS, LPA

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	535	AK

General Provider Information

NPI Number	:	1972727725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHRYN LOIS CARSSOW MS, LPA

Provider Business Mailing Address
First Line	:	PO BOX 9078
Second Line	:
City	:	KETCHIKAN
State	:	AK
Zip	:	99901-4078
Country	:	US
Telephone Number	:	907-247-7909
Fax Number	:

Provider Business Practice Location Address
First Line	:	3050 5TH AVE
Second Line	:
City	:	KETCHIKAN
State	:	AK
Zip	:	99901-5773
Country	:	US
Telephone Number	:	907-228-6521
Fax Number	:

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1467445296 — CITY OF KETCHIKAN-GATEWAY CENTER FOR HUMAN SERVICES
Practice Location Address:

3050 5TH AVE
KETCHIKAN, AK
99901-5773

Practice Phone: 907-225-4135
Practice Fax: 907-247-4135

1679644322 — MS. DONNA JEAN SCARBOROUGH LCSW
Practice Location Address:

3050 5TH AVE
KETCHIKAN, AK
99901-5773

Practice Phone: 907-228-6509
Practice Fax: 907-247-4135

1730215567 — MR. WILLIAM C. COOL II LCSW
Practice Location Address:

3050 5TH AVE
KETCHIKAN, AK
99901-5773

Practice Phone: 907-225-5171
Practice Fax:

1689795171 — MARGARET ELLEN GILMON NURSE PRACTITIONER
Practice Location Address:

3054 5TH AVE
KETCHIKAN, AK
99901-5773

Practice Phone: 907-225-4350
Practice Fax:

1104219666 — SUSAN NEWBURN-MEDEL RN
Practice Location Address:

3054 FIFTH AVE
KETCHIKAN, AK
99901-5773

Practice Phone: 907-225-4350
Practice Fax:

1285027755 — EVAN PHILLIPS
Practice Location Address:

3054 FIFTH AVE
KETCHIKAN, AK
99901-5773

Practice Phone: 907-225-4350
Practice Fax:

Directions to “ MS. KATHRYN LOIS CARSSOW MS, LPA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.