| NPI | 1225268832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY JOAN THOMAS Owner 907-357-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AK 558) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AK 558) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AK 770) | |
| 101YM0800X Counselor Mental Health (Licence: AK 224) | |
| 101YM0800X Counselor Mental Health (Licence: AK 770) | |
| 106H00000X Marriage & Family Therapist (Licence: AK 224) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2021-03-26 |