Individual
DR. PETER IGWACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD,CDCS, MAC, LSATP
Contact information
Practice address
3924 E 8TH AVE, ANCHORAGE, AK 99508-2637
(907) 350-2326
Mailing address
3924 E 8TH AVE, ANCHORAGE, AK 99508-2637
(907) 350-2326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
508611
VA
101YP2500X
Professional Counselor
Primary
21043
VA
Other
Enumeration date
10/25/2016
Last updated
06/23/2022
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