Nusbaum, Colleen

Nusbaum, Colleen is an individual health care provider with primary practice located at 245 N Binkley St Ste 200 , Soldotna AK 99669-7500. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nusbaum, Colleen can be contacted via phone (907) 714-4521.

Contact Information

Primary practice address
245 N Binkley St Ste 200 Soldotna AK 99669-7500
Phone: (907) 714-4521
Fax: (907) 260-4063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4053 Alaska
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1290 Alaska

Profile Details

NPI number 1295996858
LBN Legal business name Nusbaum, Colleen
Credentials LCSW, CDCI
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated May 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295996858 NPPES
Alaska MEDICAID CMG675

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