Individual
KIMBERLY STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5730 E PILGRIM CT, SUITE B, WASILLA, AK 99654-7824
(907) 982-4040
(907) 373-3389
Mailing address
7600 E WOODVIEW WAY, PALMER, AK 99645-8956
(907) 982-4040
(907) 373-3389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3182
AK
101YP2500X
Professional Counselor
Primary
858
AK
Other
Enumeration date
04/03/2014
Last updated
02/07/2017
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