Individual
MRS. REBECCA ANN SHESTAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6952 CUTTY SARK ST, ANCHORAGE, AK 99502-2809
(907) 982-5562
Mailing address
PO BOX 111287, ANCHORAGE, AK 99511-1287
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
128383
AK
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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