Dallas Norman Lpc Llc

NPI 1164800363 - Counselor - 101YP2500X

NPI Details
NPI 1164800363
Enumeration Date 05/08/2015
Last Updated 05/08/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DALLAS P DALLAS
Position MANAGING MEMBER
Phone (907) 455-5238
Fax
Practice Location
626 2ND ST
SUITE 101A
FAIRBANKS AK, 99701-3466, US
Phone (907) 455-5238
Fax
Business Location
626 2ND ST
SUITE 101A
FAIRBANKS AK, 99701-3466, US
Phone
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Alaska
License Number 1020553
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According to our database, Dallas Norman Lpc Llc NPI is 1164800363, taxonomy code is 101YP2500X and license number is 1020553, license state is located at Alaska. Dallas Norman Lpc Llc physically located at 626 2nd St, Fairbanks AK, 99701-3466. NPI Number 1033115704 has the healthcare provider type.

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1164800363 NPI number is provided on an as is basis without warranty of any kind. 1164800363 is maintained by the National Plan & Provider Enumeration System. The contents of Dallas Norman Lpc Llc are for informational purposes only.