Malissia Willowdawn Anderson, MHT
Malissia Willowdawn Anderson, MHT is a Counselor in Fairbanks, Alaska. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
3101 Lathrop StFairbanks, AK 99701
Phone: (907) 459-4700
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1467899625 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MHT |
| Sole proprietor | No |
| NPI enumerated | May 29, 2013 |
| Last updated in NPPES | November 16, 2020 |
| Certification date | November 16, 2020 |
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