Individual
JENNA LYN FARRALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 ARCA DR, ANCHORAGE, AK 99508-3462
(907) 777-0354
Mailing address
2211 ARCA DR, ANCHORAGE, AK 99508-3462
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
10/19/2012
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