GINA THARA WALL

EAGLE RIVER, AK
NPI1073121752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: AK  159747)
Enumeration Date2020-07-17
Last Update Date2020-07-17
Business Address
GINA THARA WALL LPC
17601 JAMES WAY
EAGLE RIVER, AK 99577-9254
Phone number: 907-854-2344
Mailing Address
GINA THARA WALL LPC
17601 JAMES WAY
EAGLE RIVER, AK 99577-9254
Phone number: 907-854-2344