Individual
KENNEDY FONOTI TALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 DEBARR RD STE 201, ANCHORAGE, AK 99508-3103
(907) 222-7300
Mailing address
816 N PARK ST, ANCHORAGE, AK 99508-1529
(907) 360-3096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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