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Individual

MR. REX WILLIAM JOHNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MED, LCPC

Contact information

Practice address
2240 BAXTER RD, ANCHORAGE, AK 99504-3281
(907) 348-7782
Mailing address
2240 BAXTER RD, ANCHORAGE, AK 99504-3281
(907) 348-7782

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-164
ID
101YM0800X
Mental Health Counselor
Primary
LPC-541
AK

Other

Enumeration date
03/04/2008
Last updated
03/04/2008
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