Individual
CARLA HORNUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5730 E PILGRIM CT STE A, WASILLA, AK 99654-7824
(907) 357-6513
Mailing address
PO BOX 872370, WASILLA, AK 99687-2370
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
125652
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225268832
OLIVE TREE COUNSELING, INC
AK
Enumeration date
06/18/2018
Last updated
06/18/2018
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