Wellness And Health
Counselor, Mental Health in Wasilla, AK. Organization (NPI-2).
NPI number1154717023
StatusActive
Last updated in NPPESApr 8, 2015
Details
- NPI
- 1154717023
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellness And Health
- Organization subpart
- No
- Enumeration date
- Apr 8, 2015
- Last updated
- Apr 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 528 | AK | Yes |
Practice location
491 N Knik StWasilla, AK 99654-7049
Phone 907-841-5330 · Fax 907-376-9508
Mailing address
491 N Knik StWasilla, AK 99654-7049
Phone 907-841-5330 · Fax 907-376-9508
Authorized official
Deb L. Haynes
Therapist
9078415330
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