Individual
AMANDA RENEE KOOKESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
308 G ST STE 311, ANCHORAGE, AK 99501-2153
(907) 519-0353
Mailing address
308 G ST STE 311, ANCHORAGE, AK 99501-2153
(907) 519-0353
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
162904
AK
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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