Healthcare Provider Details

I. General information

NPI: 1194578062
Provider Name (Legal Business Name): SHARNEL VALE-JONES MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARNEL DORTHA VALE

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 SAN JERONIMO DR
ANCHORAGE AK
99508-2870
US

IV. Provider business mailing address

3600 SAN JERONIMO DR
ANCHORAGE AK
99508-2870
US

V. Phone/Fax

Practice location:
  • Phone: 907-727-3508
  • Fax:
Mailing address:
  • Phone: 907-727-3508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: