Individual
JOELLENE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9108 GLORALEE ST, ANCHORAGE, AK 99502-5137
(907) 602-3294
Mailing address
9108 GLORALEE ST, ANCHORAGE, AK 99502-5137
(907) 602-3294
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1350
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
452816007
UNITED HEALTHCARE
—
01
—
842880
ODS
—
01
—
9717968
AETNA
—
01
—
A02TT9A02V43
PREMERA BLUE CROSS BLUE SHIELD OF ALASKA
—
Enumeration date
08/01/2011
Last updated
01/04/2017
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