| 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 |
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