Individual
LARRY KITTLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
873 NORMAN ST, ANCHORAGE, AK 99504-1615
(907) 953-0091
Mailing address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 562-5340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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