Individual
GENA RUTH ORNQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1000 JOSSELIN LN, PALMER, AK 99645-7110
(907) 745-2060
Mailing address
1000 JOSSELIN LN, PALMER, AK 99645-7110
(907) 745-2060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
113116
AK
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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