Provider Demographics
NPI:1013601459
Name:REMMER, EMILY ANNE HAAKENSON
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE HAAKENSON
Last Name:REMMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANNE
Other - Last Name:HAAKENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2615 WATERGATE WAY
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-8857
Mailing Address - Country:US
Mailing Address - Phone:907-252-8931
Mailing Address - Fax:
Practice Address - Street 1:609 MARINE AVE
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-6948
Practice Address - Country:US
Practice Address - Phone:907-398-0528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health