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Search › Alaska › 171M00000X

Dezarae Fowler

NPI 1649003666 · on the registry since 2024

Practice

Address
43335 K Beach Rd Ste 36
Soldotna, AK 99669
Phone
(907) 953-9440
Fax
(907) 262-6294
Organisation at this address
Jill Hardee
Frontier Community Services
Jovial Therapy Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska