Individual
KRISTEN MARIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4534
(907) 376-2348
Mailing address
PO BOX 940136, HOUSTON, AK 99694-0136
(907) 203-9781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5197
AK
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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