Individual
MARY JO METTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 335-7300
Mailing address
PO BOX 3114, KENAI, AK 99611-3114
(907) 398-2939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
130223
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1714851
—
AK
05
—
1757636
—
AK
Enumeration date
08/13/2018
Last updated
08/12/2025
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