Individual
LEAH MARIE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47480 KRISTINA WAY, KENAI, AK 99611-5902
(907) 714-4521
Mailing address
245 N BINKLEY ST STE 202, SOLDOTNA, AK 99669-7500
(907) 714-4521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1838
AK
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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