person
Antiqua Lisha Libbey, MA
Mental Health Counselor in Wasilla, Alaska
NPI 1619531217

Antiqua Lisha Libbey is a Mental Health Counselor based in Wasilla, AK and is specialized in Mental Health. Antiqua Lisha Libbey practices in Wasilla, AK and has the professional credentials of MA. The NPI Number for Antiqua Lisha Libbey is 1619531217 and holds a License No. (Alaska).

The current practice location address for Antiqua Lisha Libbey is 4821 S Outrigger Dr., Wasilla, AK and can be reached out via phone at 907-354-4345.

Location: 4821 S Outrigger Dr., Wasilla, AK, 99687-9461
person
Provider Profile Details
NPI Number
1619531217
Provider Name
Antiqua Lisha Libbey
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
4821 S Outrigger Dr., Wasilla, AK, 99687-9461
Phone Number
907-354-4345
Fax Number
Provider Enumeration Date
04/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
$$$$$$$$$ 05 AK
institution
Provider Business Practice Location Address Details
Address
4821 S Outrigger Dr.
City
State
Zip
99687
Phone Number
907-354-4345
Fax Number
person
Provider Business Mailing Address Details
Address
4821 S Outrigger Dr.
City
State
Zip
99687
Phone Number
907-354-4345
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Alaska)
Definition
Definition to come...
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