Most Relevant Information
Provider Data
| NPI Number: | 1003382706 |
| Provider Name: | REBECCA ANN SHESTAKOV LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 128383 |
Most Important Dates
| Enumeration Date: | 10/19/2018 |
| Last Updated: | 10/19/2018 |
Provider Practice Location
6952 CUTTY SARK ST
ANCHORAGE
AK
995022809
Practice Location Phone/Fax
| Phone: | 9079825562 |
| Fax: |
Provider Mailing Location
PO BOX 111287
ANCHORAGE
AK
995111287
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |