Individual
MELISSA M MOXLOW SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LPC-S
Contact information
Practice address
10740 BAYSHORE DR, ANCHORAGE, AK 99515-2426
(907) 600-4847
Mailing address
10740 BAYSHORE DR, ANCHORAGE, AK 99515-2426
(907) 600-4847
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
118139
AK
101YM0800X
Mental Health Counselor
Primary
118139
AK
101YM0800X
Mental Health Counselor
118139
—
Other
Enumeration date
01/22/2018
Last updated
12/09/2021
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