Individual
JENNIFER LYNN BURKHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3201 C ST, SUITE 302, ANCHORAGE, AK 99503-3917
(907) 562-1996
(907) 562-2295
Mailing address
PO BOX 110187, ANCHORAGE, AK 99511-0187
(907) 562-1996
(907) 562-2295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
367
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH7266
—
AK
Enumeration date
05/18/2007
Last updated
07/08/2007
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