| NPI | 1205762754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE CATHERINE CHILDRESS License Professional Counselor 907-575-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |