Individual
BRITTANY OAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 N MAIN ST STE E, WASILLA, AK 99654-7057
(907) 885-0989
Mailing address
PO BOX 875324, WASILLA, AK 99687-5324
(907) 885-0989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
129749
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129749
PROFESSIONAL LICENSE NUMBER
AK
Enumeration date
08/13/2019
Last updated
08/13/2019
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