Individual
ALEX TRENTON BELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4534
(907) 376-2348
Mailing address
PO BOX 871545, WASILLA, AK 99687-1545
(907) 376-4534
(907) 376-2348
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
4870
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4870
ALASKA COMMISSION FOR BEHAVIORAL HEALTH CERTIFICATOIN
AK
Enumeration date
07/08/2022
Last updated
07/08/2022
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