NPI 1407140163 · live from the CMS NPI Registry
Mat-Su Valley Counseling LLC
Marriage & Family Therapist in Wasilla, AK. National Provider Identifier 1407140163, active.
NPI record
| NPI | 1407140163 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 601 N Bunker Hill St, Suite D, Wasilla, AK 99654 |
| Practice phone | 907-357-8090 |
| Enumerated | May 30, 2011 |
| Last updated | October 5, 2011 |
| Authorized official | Joshua Miller, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 259 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.