Individual
LYNA THON MOSSHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 688-1750
Mailing address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006017
—
AK
05
—
1020986
—
AK
05
—
1584987
—
AK
Enumeration date
02/25/2010
Last updated
04/10/2024
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