Kasey Conrad
Peer Specialist in Wasilla, AK. Individual provider (NPI-1).
NPI number1982305397
StatusActive
Last updated in NPPESMar 13, 2023
Details
- NPI
- 1982305397
- Entity type
- Individual (NPI-1)
- Name
- Kasey Conrad
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2023
- Certification date
- Mar 10, 2023
- Last updated
- Mar 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1363 W Spruce AveWasilla, AK 99654-5327
Phone 907-376-2411
Mailing address
1363 W Spruce AveWasilla, AK 99654-5327
Phone 907-376-2411
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All 196 Peer Specialist providers in Wasilla · All 3,076 providers in Wasilla
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