Individual
DESIREE NIEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
17105 PARK PLACE ST, EAGLE RIVER, AK 99577-7821
(907) 622-1002
(907) 622-8808
Mailing address
17105 PARK PLACE ST, EAGLE RIVER, AK 99577-7821
(907) 622-1002
(907) 622-8808
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
790
AK
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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