Individual
MS. SARAH ANNE BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
MTSU MENTAL HEALTH 860 S ROBERTS ST, WASILLA, AK 99654-0014
(907) 921-2251
Mailing address
860 S ROBERTS ST, WASILLA, AK 99654-0014
(907) 444-9111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
875
AK
101YP2500X
Professional Counselor
Primary
875
AK
Other
Enumeration date
08/12/2009
Last updated
05/03/2022
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