Individual
JEREMY MICHAEL LANDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDC I
Contact information
Practice address
225 EAGLE ST, ANCHORAGE, AK 99501-2626
(907) 729-6550
(907) 278-6631
Mailing address
4155 TUDOR CENTRE DR STE 1, ANCHORAGE, AK 99508-5912
(907) 729-6351
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
06/19/2024
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