Individual
TESS DALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3691 BEN WALTERS LN, HOMER, AK 99603-7750
(907) 235-6152
(907) 235-6158
Mailing address
PO BOX 284, HOMER, AK 99603-0284
(907) 235-6152
(907) 235-6158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
AK
1041C0700X
Clinical Social Worker
Primary
379
AK
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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