Individual
DMAJIA TENNAE VOLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4045 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5227
(907) 561-0954
Mailing address
4045 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2022
Last updated
05/11/2023
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