Chaz Malik Hedgspeth
Counselor, Mental Health in Anchorage, AK. Individual provider (NPI-1).
NPI number1154726537
StatusActive
Last updated in NPPESOct 28, 2014
Details
- NPI
- 1154726537
- Entity type
- Individual (NPI-1)
- Name
- Chaz Malik Hedgspeth
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2014
- Last updated
- Oct 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
110 Muldoon RdAnchorage, AK 99504-1403
Phone 907-762-8625
Mailing address
9200 Independence DrApt 314
Anchorage, AK 99507-4691
Phone 907-538-3356
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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