LEIF LASAGE
NPI 1235855198
Counselor - Mental Health in Ketchikan, AK
Active since October 12, 2022
About Leif Lasage NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEIF LASAGE (NPI 1235855198) is an individual mental health provider in Ketchikan, Alaska and active in the NPI registry since October 2022.
NPPES Registry Identity
NPI1235855198
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLEIF LASAGE
Location Address721 STEDMAN STKetchikan, AK 99901-6632
Mailing Address721 Stedman StKetchikan, AK 99901-6632 · (907) 225-7825 · Fax (907) 225-1541
Phone(907) 225-7825
Fax(907) 225-1541
Sole ProprietorNo
Enumeration DateOctober 12, 2022
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1235855198 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
721 STEDMAN ST, Ketchikan, AK 99901
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Specialist/Technologist (Speech-Language Assistant)
721 STEDMAN ST
KETCHIKAN, AK 99901
KETCHIKAN, AK 99901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235855198, enumerated as an "individual" on October 12, 2022.
The provider is located at 721 STEDMAN ST KETCHIKAN, AK 99901 and the phone number is (907) 225-7825.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.