Individual
MACKENZIE G WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
401 W. INTERNATIONAL AIRPORT RD., SUITE 17, ANCHORAGE, AK 99518-1168
(907) 770-3656
(907) 562-4503
Mailing address
401 W. INTERNATIONAL AIRPORT RD., SUITE 17, ANCHORAGE, AK 99518-1168
(907) 770-3656
(907) 562-4503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
11/02/2023
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