Provider Demographics
NPI:1881032001
Name:GAROUTTE, FRANCES ROSE (BA, CDC-1, BHC 1)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:ROSE
Last Name:GAROUTTE
Suffix:
Gender:F
Credentials:BA, CDC-1, BHC 1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W 58TH AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-1630
Mailing Address - Country:US
Mailing Address - Phone:907-563-0555
Mailing Address - Fax:907-929-5480
Practice Address - Street 1:601 W 58TH AVE STE 140
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1630
Practice Address - Country:US
Practice Address - Phone:907-563-0555
Practice Address - Fax:907-929-5480
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3955101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK7159950Medicaid