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THOMAS JERAD HAUGUM SUDCC III
NPI 1215757869
Counselor - Addiction (Substance Use Disorder) in Ketchikan, AK

Active since October 16, 2024
3050 FIFTH AVE STE 100, KETCHIKAN, AK 99901(907) 463-0629 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas Jerad Haugum Sudcc Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS JERAD HAUGUM SUDCC III (NPI 1215757869) is an individual addiction (substance use disorder) provider in Ketchikan, Alaska, licensed in California (9184) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1215757869
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTHOMAS JERAD HAUGUMCredential: SUDCC III
Location Address3050 FIFTH AVE STE 100Ketchikan, AK 99901-5773
Mailing Address3050 Fifth Ave Ste 100Ketchikan, AK 99901-5773 · (907) 463-0629
Phone(907) 463-0629
Sole ProprietorNo
Enumeration DateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1215757869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 9184
3050 FIFTH AVE STE 100, Ketchikan, AK 99901
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CANDICE JILLIAN DUCKWORTH
Counselor (Mental Health)
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 463-0627
LAURA DAVIDSON
Counselor (Addiction (Substance Use Disorder))
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 463-0624
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
Community/Behavioral Health
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 966-2411
JENNIFER M PARSONS NP
Nurse Practitioner (Family)
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-2410
SOUTHEAST ALASKA REGIONAL HEALTH CONSTORTIUM
Community/Behavioral Health
3050 FIFTH AVE STE 100
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-2410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Haugum's NPI number?

The NPI number for Thomas Haugum is 1215757869. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Thomas Haugum located?

Thomas Haugum practices at 3050 Fifth Ave Ste 100, Ketchikan, AK 99901. The listed phone number is (907) 463-0629.

What is Thomas Haugum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Thomas Haugum was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.