Individual
MS. ELANA E DAVIS SHIFLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.A.
Contact information
Practice address
642 S ALASKA ST, STE. 207, PALMER, AK 99645-6342
(907) 746-1558
(907) 746-1833
Mailing address
642 S. ALASKA ST., STE. 207, PALMER, AK 99645-6378
(907) 746-1558
(907) 746-1833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AA#346
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA#346
PSYCHOLOGICAL ASSOCIATE LICENSE
AK
Enumeration date
10/28/2008
Last updated
10/28/2008
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