Individual
JENNIFER ATTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 19TH AVE RM 359, FAIRBANKS, AK 99701-5903
(907) 459-3800
Mailing address
PO BOX 74814, FAIRBANKS, AK 99707-4814
(907) 457-4947
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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