Individual
KENT CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 ARCA DR, ANCHORAGE, AK 99508-3462
(907) 646-5708
Mailing address
2211 ARCA DR, ANCHORAGE, AK 99508-3462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AK
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AK7022602
—
AK
Enumeration date
08/09/2018
Last updated
08/09/2018
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