Individual
KRISTAL M HERMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 E BOGARD RD BLDG 2, WASILLA, AK 99654-4711
(907) 373-4732
Mailing address
PO BOX 879229, WASILLA, AK 99687-9229
(907) 715-6576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/28/2021
Last updated
04/28/2023
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