Most Relevant Information
Provider Data
NPI Number: | 1003479759 |
Provider Name: | ELIZABETH TUCKER KNECHT MS, CD |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 04/18/2019 |
Last Updated: | 04/18/2019 |
Provider Practice Location
7010 E BOGARD RD
WASILLA
AK
996544711
Practice Location Phone/Fax
Phone: | 9073734732 |
Fax: |
Provider Mailing Location
PO BOX 876741
WASILLA
AK
996876741
Provider Mailing Phone/Fax
Phone: | |
Fax: |