JACK DYLAN MARCHANT

WASILLA, AK
NPI1982122743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-08-31
Last Update Date2026-08-17
Business Address
JACK DYLAN MARCHANT CDCII
7010 E BOGARD RD
WASILLA, AK 99654-4711
Phone number: 907-373-4732
Mailing Address
JACK DYLAN MARCHANT CDCII
PO BOX 876741
WASILLA, AK 99687-6741
Phone number: 907-373-7432