Individual
JESSICA NYAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 N CRUSEY ST STE B112, WASILLA, AK 99654-7100
(907) 357-5400
(907) 357-5477
Mailing address
777 N CRUSEY ST STE B112, WASILLA, AK 99654-7100
(907) 357-5400
(907) 357-5477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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