person
Mr. Jean Paulin Engbanda Lockulu
Mental Health Counselor in Anchorage, Alaska
NPI 1164026712

Jean Paulin Engbanda Lockulu is a Mental Health Counselor based in Anchorage, AK and is specialized in Mental Health. Jean Paulin Engbanda Lockulu practices in Anchorage, AK. The NPI Number for Jean Paulin Engbanda Lockulu is 1164026712 and holds a License No. (Alaska).

The current practice location address for Jean Paulin Engbanda Lockulu is 3211 Providence Drive, Anchorage, AK and can be reached out via phone at 907-885-2280 and via fax at 907-885-6613.

Location: 3211 Providence Drive, Anchorage, AK, 99508
person
Provider Profile Details
NPI Number
1164026712
Provider Name
Jean Paulin Engbanda Lockulu
Credential
Provider Entity Type
Individual
Gender
Male
Address
3211 Providence Drive, Anchorage, AK, 99508
Phone Number
907-885-2280
Fax Number
907-885-6613
Provider Enumeration Date
11/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1584706 05 AK
1021118 05 AK
institution
Provider Business Practice Location Address Details
Address
3211 Providence Drive
City
State
Zip
99508
Phone Number
907-885-2280
Fax Number
907-885-6613
person
Provider Business Mailing Address Details
Address
3211 Providence Drive
City
State
Zip
99508
Phone Number
907-885-2280
Fax Number
907-885-6613
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Alaska)
Definition
Definition to come...
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