Individual
SUSAN J HADACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
11940 BUSINESS BLVD STE 205, EAGLE RIVER, AK 99577-7742
(907) 330-9188
Mailing address
11940 BUSINESS BLVD STE 205, EAGLE RIVER, AK 99577-7742
(907) 330-9188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
213
AK
Other
Enumeration date
12/04/2011
Last updated
12/04/2011
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