Individual
MICHAEL DAWAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 346-2101
Mailing address
5824 E NORTHERN LIGHTS BLVD APT C, ANCHORAGE, AK 99504-3156
(480) 658-3550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AK
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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