Provider Demographics
NPI:1730745878
Name:MINHAS, HARSIMRANJEET (CDCI, BHCI)
Entity type:Individual
Prefix:
First Name:HARSIMRANJEET
Middle Name:
Last Name:MINHAS
Suffix:
Gender:M
Credentials:CDCI, BHCI
Other - Prefix:
Other - First Name:SONNY
Other - Middle Name:
Other - Last Name:MINHAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CDCI, BHCI
Mailing Address - Street 1:30881 EKLUTNA LAKE RD
Mailing Address - Street 2:
Mailing Address - City:CHUGIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99567-5166
Mailing Address - Country:US
Mailing Address - Phone:907-688-3591
Mailing Address - Fax:
Practice Address - Street 1:ERNIE TURNER CENTER
Practice Address - Street 2:30881 EKLUTNA LAKE RD
Practice Address - City:CHUGIAK
Practice Address - State:AK
Practice Address - Zip Code:99567-1707
Practice Address - Country:US
Practice Address - Phone:907-720-9882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK123538101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK3952OtherALASKA COMMISSION FOR BEHAVIORAL HEALTH CERTIFICATION
AK123538OtherSTATE OF ALASKA BOARD OF PROFESSIONAL COUNSELORS