Individual
MRS. VIVIEN WATTS TINCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CDCII, MAC,
Contact information
Practice address
10928 EAGLE RIVER RD, SUITE 140, EAGLE RIVER, AK 99577-8038
(907) 696-8462
Mailing address
18708 MAN-O-WAR ROAD, EAGLE RIVER, AK 99577
(907) 696-8462
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
117
AK
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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