Individual
TYLER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 ABBOTT RD, ANCHORAGE, AK 99507-4314
(907) 346-2101
Mailing address
4208 HARRISON ST UNIT 1, ANCHORAGE, AK 99503-6546
(910) 431-8141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AK
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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