Individual
EDI LANE GRIGGS HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3647 CLARK WOLVERINE ROAD, PALMER, AK 99645
(907) 761-7426
Mailing address
1950 S BODENBURG LOOP, PALMER, AK 99645-7617
(907) 521-0104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
176780
AK
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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