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TACOMA CORONEL
NPI 1508634064
Counselor - Mental Health in Ketchikan, AK

Active since December 14, 2023
2514 FIRST AVE, KETCHIKAN, AK 99901(907) 225-4664 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tacoma Coronel NPPES

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

TACOMA CORONEL (NPI 1508634064) is an individual mental health provider in Ketchikan, Alaska and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1508634064
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTACOMA CORONEL
Location Address2514 FIRST AVEKetchikan, AK 99901-5804
Mailing AddressPo Box 7475Ketchikan, AK 99901-2475
Phone(907) 225-4664
Sole ProprietorNo
Enumeration DateDecember 14, 2023
NPPES CertifiedDecember 14, 2023
✔ NPI 1508634064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2514 FIRST AVE, Ketchikan, AK 99901
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Other Identifiers 2

Medicaid1713721AK
Medicaid1703638AK

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.

MR. MICHAEL IANN MARTIN
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 821-8119
MR. MARK JAMES SHERRARD
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MS. KAYLA DAWN EDENSHAW
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. SHAUN AURTHER BRYNAERT
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. WILLIAM PERRY-CONRAD CANFIELD
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. JAMES EDWARD MCDONALD JR.
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MS. SARA LOUISE GRAHAM
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664
MR. CHARLES C SUCKINAW
Counselor (Mental Health)
2514 FIRST AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 225-4664

Frequently Asked Questions

What is Tacoma Coronel's NPI number?

The NPI number assigned to this healthcare provider is 1508634064, enumerated as an "individual" on December 14, 2023.

Where is the provider located?

The provider is located at 2514 FIRST AVE KETCHIKAN, AK 99901 and the phone number is (907) 225-4664.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

What insurance does Tacoma Coronel accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.