Organization
DALLAS NORMAN LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALLAS P NORMAN LPC (MANAGING MEMBER)
(907) 455-5238
Entity
Organization
Contact information
Practice address
626 2ND ST, SUITE 101A, FAIRBANKS, AK 99701-3466
(907) 455-5238
Mailing address
626 2ND ST, SUITE 101A, FAIRBANKS, AK 99701-3466
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1020553
AK
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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