Individual
LEANN RENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 S DENALI ST STE F, PALMER, AK 99645-6464
(907) 707-1291
Mailing address
360 W BENSON BLVD STE 300, ANCHORAGE, AK 99503-3953
(907) 565-1200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
01/24/2020
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