Provider Demographics
NPI:1396086278
Name:RESOLUTION COUNSELING SERVICES
Entity type:Organization
Organization Name:RESOLUTION COUNSELING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:FRANCINE
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:BS CDCII NCACII SAP
Authorized Official - Phone:907-770-7769
Mailing Address - Street 1:401 E NORTHERN LIGHTS BLVD STE 205
Mailing Address - Street 2:745 WEST 4TH AVE SUITE 101
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2814
Mailing Address - Country:US
Mailing Address - Phone:907-770-7763
Mailing Address - Fax:907-770-7634
Practice Address - Street 1:401 E NORTHERN LIGHTS BLVD STE 205
Practice Address - Street 2:745 WEST 4TH AVE SUITE 101
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2814
Practice Address - Country:US
Practice Address - Phone:907-770-7763
Practice Address - Fax:907-770-7634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-02
Last Update Date:2013-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3411251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health