Most Relevant Information
Provider Data
| NPI Number: | 1003490947 |
| Provider Name: | NIKOLA JAKSIC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2021 |
| Last Updated: | 05/06/2021 |
Provider Practice Location
7011 JOSEPH ST
ANCHORAGE
AK
995182032
Practice Location Phone/Fax
| Phone: | 9078305738 |
| Fax: |
Provider Mailing Location
7011 JOSEPH ST
ANCHORAGE
AK
995182032
Provider Mailing Phone/Fax
| Phone: | 9078305738 |
| Fax: |