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Individual

ANTHONY LONGVAL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2825 W 42ND AVE, ANCHORAGE, AK 99517-2830
(907) 243-5130
(907) 248-8350
Mailing address
2825 W 42ND AVE, ANCHORAGE, AK 99517-2830
(907) 243-5130
(907) 248-8350

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1316
AK

Other

Enumeration date
03/01/2016
Last updated
03/01/2016
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