Individual
PHOEBE PROUDFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508-3463
(907) 334-0135
Mailing address
1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508-3463
(907) 334-0135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1076
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076
LCSW
AK
Enumeration date
04/29/2015
Last updated
04/29/2015
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