Individual
PHYLLIS ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, CDCL
Contact information
Practice address
3760 PIPER ST STE 1108, ANCHORAGE, AK 99508-4683
(907) 212-6973
(907) 212-6971
Mailing address
1660 EASTRIDGE DR APT 201, ANCHORAGE, AK 99501-5759
(907) 529-2964
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
113122
AK
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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