Individual
CAROLE JEAN SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCP
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 562-5340
(907) 563-6922
Mailing address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 562-5340
(907) 563-6922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
574
AK
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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