Individual
JAMIE DENISSE BRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30881 EKLUTNA LAKE RD, CHUGIAK, AK 99567-5166
(907) 793-3694
(907) 793-3250
Mailing address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3200
(907) 793-3250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4966
AK
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
4966
AK
Other
Enumeration date
01/04/2023
Last updated
07/10/2024
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