Most Relevant Information
Provider Data
| NPI Number: | 1003593799 |
| Provider Name: | THERESA L ENGEBRETSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/03/2023 |
| Last Updated: | 07/03/2023 |
Provider Practice Location
1091 E END RD
HOMER
AK
996037206
Practice Location Phone/Fax
| Phone: | 9074501350 |
| Fax: |
Provider Mailing Location
4575 THOMAS CT
HOMER
AK
996038226
Provider Mailing Phone/Fax
| Phone: | 9073993525 |
| Fax: |