Individual
DR. STEPHEN MARK SUNDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC, CDC I
Contact information
Practice address
602 CHASE AVE, CORDOVA, AK 99574
(907) 424-8300
(907) 424-8645
Mailing address
PO BOX 874756, WASILLA, AK 99687-4756
(907) 357-5188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
16231
TX
101Y00000X
Counselor
Primary
245
AK
Other
Enumeration date
03/07/2007
Last updated
07/01/2010
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