Wall, Gina Thara
Wall, Gina Thara is an sole proprietor health care provider with primary practice located at 17601 James Way , Eagle River AK 99577-9254. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wall, Gina Thara can be contacted via phone (907) 854-2344.Contact Information
Primary practice address
17601 James Way
Eagle River AK 99577-9254
Phone: (907) 854-2344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 159747 | Alaska |
Profile Details
| NPI number | 1073121752 |
|---|---|
| LBN Legal business name | Wall, Gina Thara |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2020 |
| Last updated | Jul 17th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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