Organization
SUSITNA MARITAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY GENE HOLMAN LMFT (OWNER)
(907) 351-3223
Entity
Organization
Contact information
Practice address
2600 DENALI ST STE 606, ANCHORAGE, AK 99503-2754
(907) 351-3223
(907) 272-9726
Mailing address
2600 DENALI ST STE 606, ANCHORAGE, AK 99503-2754
(907) 351-3223
(907) 272-9726
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 26
AK
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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