Individual
STEPHANIE L HAASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MAC, CDCII
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4521
Mailing address
245 N BINKLEY ST STE 202, SOLDOTNA, AK 99669-7500
(319) 290-7911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4245
AK
101YP2500X
Professional Counselor
Primary
132160
AK
Other
Enumeration date
01/04/2019
Last updated
11/18/2020
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