Individual
JESSICA MARIE MIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2550 DENALI ST, SUITE 1606, ANCHORAGE, AK 99503-2783
(907) 317-8220
Mailing address
2550 DENALI ST, SUITE 1606, ANCHORAGE, AK 99503-2783
(907) 317-8220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
106263
AK
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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