Individual
CORDERO ALLAN WADE-GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 E 20TH AVE, ANCHORAGE, AK 99508-3418
(907) 306-8693
(907) 257-1091
Mailing address
2405 GLENKERRY DR, ANCHORAGE, AK 99504-3236
(907) 306-8693
(907) 333-4383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
04/25/2022
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