Individual
ALEXANDER VANGEFFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC, NCC
Contact information
Practice address
302 RAILWAY AVE, SEWARD, AK 99603
(907) 224-5257
Mailing address
PO BOX 349, SEWARD, AK 99664-0349
(504) 723-7795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
199601
AK
101YM0800X
Mental Health Counselor
8197
LA
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/20/2016
Last updated
01/10/2023
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