Dallas Norman Lpc LLC

NPI #1164800363 in Fairbanks, Alaska

Provider Information

NPI Number
1164800363
Entity Type
Organization
Organization Name
Dallas Norman Lpc LLC
Primary Specialty
Counselor - Professional
Enumeration Date
May 8, 2015
Last Updated
May 8, 2015

Practice Location

Address
626 2ND ST
Address 2
SUITE 101A
State
Alaska
ZIP Code
99701-3466
Phone
(907) 455-5238

Authorized Official

Name
DALLAS P NORMAN, LPC
Title
MANAGING MEMBER
Phone
(907) 455-5238

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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