Ahtearra Nichole Wyche
Counselor, Mental Health in Anchorage, AK. Individual provider (NPI-1).
NPI number1164021382
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1164021382
- Entity type
- Individual (NPI-1)
- Name
- Ahtearra Nichole Wyche
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2020
- Certification date
- Oct 19, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
6401 A StAnchorage, AK 99518-1824
Phone 907-222-2379
Mailing address
6401 A StAnchorage, AK 99518-1824
Phone 907-222-2379
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