Individual
TAMRA MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1600 A ST STE 104, ANCHORAGE, AK 99501-5146
(907) 272-5500
Mailing address
11400 MOUNTAIN LAKE DR, ANCHORAGE, AK 99516-1881
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
129
AK
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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