Individual
STEFANIE GOGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2600 CORDOVA ST STE 101, ANCHORAGE, AK 99503-2745
(907) 279-9640
Mailing address
2600 CORDOVA ST STE 101, ANCHORAGE, AK 99503-2745
(219) 850-4084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
195816
AK
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/03/2020
Last updated
06/30/2022
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