# WELLNESS AND HEALTH

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

## Provider details

- **NPI number:** 1154717023
- **Authorized official:** MS. DEB L. HAYNES M.ED. LPC (THERAPIST)
- **Authorized official phone:** (907) 841-5330

## Contact information

- **Practice address:** 491 N KNIK ST, WASILLA, AK 99654-7049
- **Practice address phone:** (907) 841-5330
- **Practice address fax:** (907) 376-9508
- **Mailing address:** 491 N KNIK ST, WASILLA, AK 99654-7049
- **Mailing address phone:** (907) 841-5330
- **Mailing address fax:** (907) 376-9508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 528 | AK | Yes |

## Other

- **Enumeration date:** 04/08/2015
- **Last updated:** 04/08/2015