Individual
KELLI LYNNE HYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDC I
Contact information
Practice address
3600 SAN JERONIMO DR STE 201, ANCHORAGE, AK 99508-2870
(907) 793-3200
Mailing address
3600 SAN JERONIMO DR STE 201, ANCHORAGE, AK 99508-2870
(907) 793-3200
(907) 793-3250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4406
AK
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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