Provider Demographics
NPI:1154492957
Name:BAKAITIS, JAMES F (LCPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:BAKAITIS
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:UNALASKA
Mailing Address - State:AK
Mailing Address - Zip Code:99685-0010
Mailing Address - Country:US
Mailing Address - Phone:907-359-4561
Mailing Address - Fax:907-581-2752
Practice Address - Street 1:34 LAVELLE CT. #A
Practice Address - Street 2:
Practice Address - City:UNALASKA
Practice Address - State:AK
Practice Address - Zip Code:99685
Practice Address - Country:US
Practice Address - Phone:907-581-2742
Practice Address - Fax:907-581-2040
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-004071101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional