Dallas Norman Lpc Llc | |
626 2nd St Suite 101a Fairbanks AK 99701-3466 | |
(907) 455-5238 | |
Not Available |
Full Name | Dallas Norman Lpc Llc |
---|---|
Speciality | Counselor - Professional |
Location | 626 2nd St, Fairbanks, Alaska |
Authorized Official Name and Position | Dallas P Norman (MANAGING MEMBER) |
Authorized Official Contact | 9074555238 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dallas Norman Lpc Llc 626 2nd St Suite 101a Fairbanks AK 99701-3466 Ph: () - | Dallas Norman Lpc Llc 626 2nd St Suite 101a Fairbanks AK 99701-3466 Ph: (907) 455-5238 |
NPI Number | 1164800363 |
---|---|
Provider Enumeration Date | 05/08/2015 |
Last Update Date | 05/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164800363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1020553 (Alaska) | Primary |
News Archive
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