Individual
LEA M STANTON GREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
15 12TH STREET, SUITE 212/212A, PETERSBURG, AK 99833
(907) 650-7292
Mailing address
PO BOX 2155, TRUE NORTH COUNSELING & CONSULTATION, LLC, PETERSBURG, AK 99833-2155
(907) 650-7292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1218
MT
101YP2500X
Professional Counselor
Primary
369
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742860
BLUE CROSS PROVIDER
MT
Enumeration date
04/17/2007
Last updated
08/19/2011
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