Individual
GLEN LAVARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4320 DIPLOMACY DR, SUITE 2300, ANCHORAGE, AK 99508-5925
(907) 729-8825
(907) 729-6154
Mailing address
4320 DIPLOMACY DR, SUITE 2300, ANCHORAGE, AK 99508-5925
(907) 729-8825
(907) 729-6154
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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