Individual
JODY ANTOINETTE STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3021 AMBER BAY LOOP, ANCHORAGE, AK 99515-2303
(907) 350-6417
Mailing address
3021 AMBER BAY LOOP, ANCHORAGE, AK 99515-2303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCOP748
AK
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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