| Jason Brent Fedeli Professional Counseling Llc | |
|
3521 Mountain View Dr Anchorage AK 99508-1111 | |
| (907) 315-1955 | |
| Not Available |
| Full Name | Jason Brent Fedeli Professional Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3521 Mountain View Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Jason B Fedeli (BUSINESS OWNER) |
| Authorized Official Contact | 9073151955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Brent Fedeli Professional Counseling Llc 3521 Mountain View Dr Anchorage AK 99508-1111 Ph: () - | Jason Brent Fedeli Professional Counseling Llc 3521 Mountain View Dr Anchorage AK 99508-1111 Ph: (907) 315-1955 |
| NPI Number | 1013676055 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013676055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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