Individual provider · Type 1 NPI

Malcolm Shaquille Bodison

Mental Health Counselor · Anchorage, AK

NPI number 1366040784 Active

Practice location

1251 Muldoon Rd Ste 116
Anchorage, AK 99504-2098

Call (190) 727-4828 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1366040784

Malcolm Shaquille Bodison's National Provider Identifier is 1366040784, issued on Oct 16, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anchorage, AK. The record was last updated on Oct 16, 2020.