| Organization Name: | PSYCHIATRIC & COUNSELING SERVICES |
| NPI Number: | 1023128162 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK AMES (OWNER) |
| Mailing Address: | 5431 Mayflower Ln Suite 2 Wasilla |
| State: | AK US |
| Postal Code: | 996547817 |
| Phone Number: | 9073769369 |
| Fax Number: | 9073769363 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 752 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |