Individual
ALLI LYTHGOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CDC1
Contact information
Practice address
7010 E BOGARD RD, WASILLA, AK 99654-4711
(907) 373-4732
Mailing address
1650 N CREEKVIEW DR, WASILLA, AK 99654-6600
(907) 575-6422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AK
Other
Enumeration date
04/19/2019
Last updated
03/05/2020
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