Individual
IFE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1142 E 13TH AVE, ANCHORAGE, AK 99501-4739
(907) 201-7870
Mailing address
230 W 14TH AVE APT 101, ANCHORAGE, AK 99501-5130
(917) 891-0140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
1044958
AK
Other
Enumeration date
01/05/2017
Last updated
02/03/2021
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