Individual
LORA JEAN DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CDCI
Contact information
Practice address
44539 STERLING HWY STE 203, BLAZY MALL, SOLDOTNA, AK 99669-7920
(907) 260-2612
Mailing address
44539 STERLING HWY STE 203, BLAZY MALL, SOLDOTNA, AK 99669-7920
(907) 260-2612
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
775
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
775
LICENSED PROFESSIONAL COUNSELOR
AK
Enumeration date
08/27/2015
Last updated
08/27/2015
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