Community Counseling & Consulting, LLC

NPI #1578853859 in Wasilla, Alaska

Provider Information

NPI Number: 1578853859
Entity Type: Organization
Organization Name: Community Counseling & Consulting, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Apr 7, 2011
Last Updated: Apr 13, 2011

Practice Location

Address: 300 W GRAYBARK DR
Address 2: UNIT B
City: Wasilla
State: Alaska
ZIP Code: 99654-6382
Phone: (907) 631-3606

Authorized Official

Name: PREMLATA NIKONIUK, LPC, LCPC, NCC
Title: MANAGING MEMBER
Phone: (907) 631-3606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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