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Individual

DR. MICHAEL AANAVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LAC

Contact information

Practice address
610 W 2ND AVE STE 100, ANCHORAGE, AK 99501-2151
(907) 297-8590
Mailing address
610 W 2ND AVE STE 100, ANCHORAGE, AK 99501-2151
(907) 297-8590

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
681
AK
103TC0700X
Clinical Psychologist
PSY16065
CA
103TC0700X
Clinical Psychologist
PSY714
HI
171100000X
Acupuncturist
172
AK
171100000X
Acupuncturist
AC11872
CA
171100000X
Acupuncturist
ACU847
HI

Other

Enumeration date
12/29/2006
Last updated
01/18/2016
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