Individual
KATIE BOSSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11921 E PALMER WASILLA HWY, PALMER, AK 99645-8833
(907) 745-2634
Mailing address
PO BOX 1907, PALMER, AK 99645-1907
(907) 745-2634
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
Primary
—
AK
Other
Enumeration date
02/14/2024
Last updated
01/21/2026
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