IndividualActive
Tanner Kettwig
NPI 1063395325 · Mental Health Counselor · Wasilla, AK
Tanner Kettwig is a Mental Health Counselor provider in Wasilla, AK (NPI 1063395325).
Provider details
- NPI number
- 1063395325
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
4040 S Discovery Bay Dr
Wasilla, AK 99654-0397
Phone: (605) 467-9129
Street-level locationGet directions
Mailing address
4040 S Discovery Bay Dr
Wasilla, AK 99654-0397
Registry dates
- Enumerated
- 2025-07-25
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.