| Susitna Marital Counseling | |
|
2600 Denali St Ste 606 Anchorage AK 99503-2754 | |
| (907) 351-3223 | |
| (907) 272-9726 |
| Full Name | Susitna Marital Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2600 Denali St Ste 606, Anchorage, Alaska |
| Authorized Official Name and Position | Larry Gene Holman (OWNER) |
| Authorized Official Contact | 9073513223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susitna Marital Counseling 2600 Denali St Ste 606 Anchorage AK 99503-2754 Ph: (907) 351-3223 | Susitna Marital Counseling 2600 Denali St Ste 606 Anchorage AK 99503-2754 Ph: (907) 351-3223 |
| NPI Number | 1881984573 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881984573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT 26 (Alaska) | Primary |
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