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Individual

STEPHANIE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA, PSS,

Contact information

Practice address
3240 PENLAND PKWY SPC 179, ANCHORAGE, AK 99508-1902
(907) 519-2577
Mailing address
3240 PENLAND PKWY SPC 179, ANCHORAGE, AK 99508-1902
(907) 519-2577

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AK
103TB0200X
Cognitive & Behavioral Psychologist
AZ
175T00000X
Peer Specialist
Primary
AK

Other

Enumeration date
08/22/2021
Last updated
08/22/2021
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