Organization
JASON BRENT FEDELI PROFESSIONAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON B FEDELI MA, LPC-S (BUSINESS OWNER)
(907) 315-1955
Entity
Organization
Contact information
Practice address
9330 VANGUARD DR STE 202, ANCHORAGE, AK 99507-5393
(907) 202-2527
Mailing address
9330 VANGUARD DR STE 202, ANCHORAGE, AK 99507-5393
(907) 202-2527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013676055
NPI II
AK
05
—
1724757
—
AK
05
—
1724759
—
AK
Enumeration date
12/16/2021
Last updated
12/23/2024
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