Individual
KRISTINE IONE BAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2651 N. THORDORE DR, WASILLA, AK 99623
(907) 376-7445
Mailing address
PO BOX 298031, WASILLA, AK 99629-8031
(907) 376-7445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AK
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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