Organization
UPSTREAM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LYNN BALLARD LPC (CEO)
(907) 297-9639
Entity
Organization
Contact information
Practice address
741 SESAME ST STE 1B, ANCHORAGE, AK 99503-6657
(907) 444-4867
(844) 628-1611
Mailing address
741 SESAME ST STE 1B, ANCHORAGE, AK 99503-6657
(907) 444-4867
(844) 628-1611
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1069542
AK
Other
Enumeration date
04/16/2018
Last updated
10/03/2022
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