KENNETH BRYAN MCINNIS

WASILLA, AK
NPI1942635149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AK  PCOP808)
Enumeration Date2013-09-06
Last Update Date2019-12-02
Business Address
KENNETH BRYAN MCINNIS LPC
851 E WESTPOINT DR STE 302
WASILLA, AK 99654
Phone number: 907-917-5900
Mailing Address
KENNETH BRYAN MCINNIS LPC
PO BOX 871431
WASILLA, AK 99687-1431
Phone number: 907-917-5900
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