Individual
SHAWN WILLIAM RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4534
Mailing address
2601 E QUIET CIR APT 2, WASILLA, AK 99654-7363
(907) 671-2336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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