Individual
SUAMALEATA TALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 DEBARR RD, ANCHORAGE, AK 99508-3103
(631) 310-7102
Mailing address
PO BOX 202346, ANCHORAGE, AK 99520-2346
(631) 310-7102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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