Individual
MARSHA EIDLEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 W BENSON BLVD STE 200, ANCHORAGE, AK 99503-3953
(907) 565-1200
Mailing address
360 W BENSON BLVD STE 300, ANCHORAGE, AK 99503-3953
(907) 565-1200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
272
AK
Other
Enumeration date
06/13/2019
Last updated
01/24/2020
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