Individual
JENNIFER C MARISCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11812 FALKLANDS LOOP, EAGLE RIVER, AK 99577-7320
(907) 529-7005
Mailing address
PO BOX 770306, EAGLE RIVER, AK 99577-0306
(907) 529-7005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
216409
AK
Other
Enumeration date
07/24/2022
Last updated
08/07/2024
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