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Individual

KARA LEE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
591 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8062
(907) 313-1333
(907) 357-8781
Mailing address
591 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8062
(907) 313-1333
(907) 357-8781

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist

Other

Enumeration date
06/11/2021
Last updated
06/11/2021
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