Individual
MYKEIA WALTHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 DEBARR RD, ANCHORAGE, AK 99508-3103
(907) 222-7300
Mailing address
2919 W 34TH AVE APT 2, ANCHORAGE, AK 99517-2228
(907) 891-1024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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