-- KATHARINE BANNON
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1336747823- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 291 E SWANSON AVE, WASILLA, AK, 996547004
- Phone
- (907) 376-3275
Specialties & Taxonomies
Counselor, Mental Health
Primary
All Addresses
MAILING
291 E SWANSON AVE
WASILLA, AK, 996547004