Individual
TASHA MAE LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 W 42ND AVE, ANCHORAGE, AK 99517-2830
(907) 243-5130
Mailing address
2825 W 42ND AVE, ANCHORAGE, AK 99517-2830
(907) 243-5130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4972
AK
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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