Individual
KOURTNEY NICOLE HEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1689 S KNIK GOOSE BAY RD STE 700, WASILLA, AK 99654-8088
(907) 841-8663
(907) 357-0115
Mailing address
1689 S KNIK GOOSE BAY RD STE 700, WASILLA, AK 99654-8088
(907) 841-8663
(907) 357-0115
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
212183
AK
Other
Enumeration date
11/29/2021
Last updated
04/11/2025
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