Individual
STEPHANIE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 E 72ND AVE, ANCHORAGE, AK 99518-2810
(907) 529-1844
Mailing address
PO BOX 111193, ANCHORAGE, AK 99511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
79
AK
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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