Individual
MS. ZOE BIANCA DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
306 WEST 5TH AVENUE, NOME, AK 99762
(907) 443-3494
(907) 443-5915
Mailing address
PO BOX 1197, NOME, AK 99762-1197
(404) 333-2399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005410
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0212
—
AK
Enumeration date
06/14/2013
Last updated
06/14/2013
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