Individual
MRS. JESSICA DEPWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7342
Mailing address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
208162
AK
Other
Enumeration date
05/17/2021
Last updated
06/28/2023
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