Individual
MRS. STEPHANIE ANNE SIAULAIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDC1
Contact information
Practice address
3600 SAN JERONIMO DR STE 210, ANCHORAGE, AK 99508-2870
(907) 793-3200
(907) 793-3250
Mailing address
4335 LAUREL ST, ANCHORAGE, AK 99508-5338
(907) 782-4750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740845486
—
AK
Enumeration date
05/08/2019
Last updated
07/22/2022
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