Individual
JANE EVE REGISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 792-4117
Mailing address
1220 VALLEY ST APT A, ANCHORAGE, AK 99504-2249
(907) 240-9694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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