Individual
ALYSSA NICOLE STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 335-7500
Mailing address
508 UPLAND ST, KENAI, AK 99611-8026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1732868
—
AK
05
—
1759317
—
AK
Enumeration date
03/30/2022
Last updated
10/03/2025
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