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Individual

JACOB SNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
1205 E INTERNATIONAL AIRPORT RD STE 100, ANCHORAGE, AK 99518-1409
(907) 570-6382
Mailing address
1205 E INTERNATIONAL AIRPORT RD STE 100, ANCHORAGE, AK 99518-1409
(907) 570-6382

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201207
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201207
STATE LICENSE NUMBER
AK
Enumeration date
03/01/2023
Last updated
03/01/2023
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