Individual
MRS. COURTNEY KOWALCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
673MDG, 5955 ZEAMER AVENUE, JOINT BASE ELMENDORF-RICHARDSON, AK 99506
(907) 580-3205
Mailing address
673MDG, 5955 ZEAMER AVENUE, JOINT BASE ELMENDORF-RICHARDSON, AK 99506
(907) 580-3205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YM02800X
CA
1041C0700X
Clinical Social Worker
Primary
LCSW72909
CA
Other
Enumeration date
03/03/2015
Last updated
02/12/2020
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