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Organization
CONFIDENTIAL CARE, LLC
Active
Organization
CONFIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA L. KRUCHOWSKI APRN-PMHNP (OWNER - PSYCHIATRIC NURSE PRACTITIO)
(907) 357-1999
Entity
Organization
Contact information
Practice address
2341 S. FERN ST., SUITE 200, WASILLA, AK 99654-8589
(907) 357-1999
(907) 357-1990
Mailing address
2341 S. FERN ST., SUITE 200, WASILLA, AK 99654-8589
(907) 357-1999
(907) 357-1990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
AK
1041C0700X
Clinical Social Worker
—
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
AK
Other
Enumeration date
03/12/2015
Last updated
05/31/2019
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