Individual
TEZLYN SAMANTHA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 DENALI ST STE 606, ANCHORAGE, AK 99503-2754
(907) 278-9355
Mailing address
2600 DENALI ST STE 606, ANCHORAGE, AK 99503-2754
(907) 278-9355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
598
AK
Other
Enumeration date
02/09/2007
Last updated
12/15/2024
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