Individual
GENETTE CATHERINE LEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 E BOGARD RD, WASILLA, AK 99654-4711
(907) 373-4732
Mailing address
7010 E BOGARD RD, WASILLA, AK 99654-4711
(907) 373-4732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/26/2022
Last updated
08/03/2023
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