NPI Profile for STEPHANIE L HAASIS in SOLDOTNA, AK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1134692908 |
|
| Status | Active | |
| Credentials | LPC, MAC, CDCII | |
| Entity | Individual | |
| Enumeration date | 01/04/2019 | |
| Last updated | 11/18/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STEPHANIE L HAASIS
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