Individual
MRS. RAE ANN HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5730 E PILGRIM CT, SUITE A, WASILLA, AK 99654-7824
(907) 357-6513
(907) 357-6514
Mailing address
5730 E PILGRIM CT, SUITE A, WASILLA, AK 99654-7824
(907) 357-6513
(907) 357-6514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2373
AK
101YM0800X
Mental Health Counselor
558
AK
101YP2500X
Professional Counselor
Primary
558
AK
Other
Enumeration date
01/28/2009
Last updated
12/04/2015
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