person
Ms. Elizabeth Mbula Wasonga, LPC-S
Professional Counselor in Bethel, Alaska
NPI 1215105762

Elizabeth Mbula Wasonga is a Professional Counselor based in Mansfield, AK and is specialized in Professional. Elizabeth Mbula Wasonga practices in Bethel, AK and has the professional credentials of LPC-S. The NPI Number for Elizabeth Mbula Wasonga is 1215105762 and holds a License No. 20115 (Alaska).

The current practice location address for Elizabeth Mbula Wasonga is 828 Chief Eddie Hoffman Hwy, Bethel, AK and can be reached out via phone at 907-543-6100 and via fax at 907-543-6159. You can also correspond with Elizabeth Mbula Wasonga through the mailing address at 4102 GREENWOOD WAY, MANSFIELD, TX - 76063 (mailing address contact number: 682-422-3909).

Location: 828 Chief Eddie Hoffman Hwy, Bethel, AK, 76063
person
Provider Profile Details
NPI Number
1215105762
Provider Name
Elizabeth Mbula Wasonga
Credential
LPC-S
Provider Entity Type
Individual
Gender
Female
Address
828 Chief Eddie Hoffman Hwy, Bethel, AK, 76063
Phone Number
907-543-6100
Fax Number
907-543-6159
Provider Enumeration Date
02/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1020986 05 AK
88601L 01 TX BLUECROSSBLUESHIELD PROV#
193427501 05 TX
institution
Provider Business Practice Location Address Details
Address
828 Chief Eddie Hoffman Hwy
City
State
Zip
99559-0528
Phone Number
907-543-6100
Fax Number
907-543-6159
person
Provider Business Mailing Address Details
Address
828 Chief Eddie Hoffman Hwy
City
State
Zip
99559-0528
Phone Number
907-543-6100
Fax Number
907-543-6159
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
20115 (Texas)
Definition
Definition to come...
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