Individual
MS. AMANDA VAILALA FATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 ABBOTT RD, ANCHORAGE, AK 99507-4314
(907) 346-2101
Mailing address
801 KARLUK ST APT 203, ANCHORAGE, AK 99501-3948
(807) 723-0615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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