# JASON BRENT FEDELI PROFESSIONAL COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013676055
- **Authorized official:** MR. JASON B FEDELI MA, LPC-S (BUSINESS OWNER)
- **Authorized official phone:** (907) 315-1955

## Contact information

- **Practice address:** 9330 VANGUARD DR STE 202, ANCHORAGE, AK 99507-5393
- **Practice address phone:** (907) 202-2527
- **Mailing address:** 9330 VANGUARD DR STE 202, ANCHORAGE, AK 99507-5393
- **Mailing address phone:** (907) 202-2527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2021
- **Last updated:** 12/23/2024