Provider Information for 1346679115
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KYRIA CHRISP-STASHAK LPC
Sex: Female
NPI: 1346679115
Last Updated: 2024-07-23
Certification Date: 2024-07-23
Certification Date: 2024-07-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1346679115 | ||||||||||||
| Enumeration Date | 2013-11-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1300 W 70TH AVE ANCHORAGE, AK 99518-2009 United States Phone: 303-842-7599 | Fax: | ||||||||||||
| Primary Practice Address | 1300 W 70TH AVE ANCHORAGE, AK 99518-2009 United States Phone: 907-570-6382 | Fax: | ||||||||||||
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