Individual
KELLEY JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 SYCAMORE LOOP, ANCHORAGE, AK 99504-4773
(907) 782-7241
Mailing address
3700 SYCAMORE LOOP, ANCHORAGE, AK 99504-4773
(907) 782-7241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
189320
AK
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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