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Individual

STEVENS MAXWELL MONTOOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MRC, LMFT

Contact information

Practice address
2600 DENALI ST, SUITE 606, ANCHORAGE, AK 99503-2739
(907) 276-2978
Mailing address
2600 DENALI ST STE 606, ANCHORAGE, AK 99503-2754
(907) 566-1470

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT 131
AK

Other

Enumeration date
03/14/2007
Last updated
07/08/2007
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