Individual
KRISTA ANN PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2600 DENALI ST, SUITE 450, ANCHORAGE, AK 99503-2746
(907) 561-0552
(907) 561-0562
Mailing address
PO BOX 92303, ANCHORAGE, AK 99509-2303
(907) 561-0552
(907) 561-0562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1023
AK
Other
Enumeration date
12/31/2010
Last updated
03/23/2012
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