Individual provider · Type 1 NPI

Michelle Poulos

Peer Specialist · Wasilla, AK

NPI number 1861215089 Active

Practice location

7010 E Bogard Rd
Wasilla, AK 99654-4711

Call (907) 746-4748 Map

Fax (907) 746-4750

Mailing address

PO Box 876741
Wasilla, AK 99687-6741

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1861215089

Michelle Poulos's National Provider Identifier is 1861215089, issued on Nov 5, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wasilla, AK. The record was last updated on Nov 5, 2024.