Individual
RAVEN ENGELBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 E BOGARD RD BLDG 2, WASILLA, AK 99654-4711
(907) 373-4732
(907) 917-5389
Mailing address
PO BOX 876741, WASILLA, AK 99687-6741
(907) 917-5389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1706806
—
AK
Enumeration date
07/11/2019
Last updated
03/26/2025
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