Individual
LISA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508
(907) 261-5304
(907) 561-1416
Mailing address
4020 FOLKER ST, ANCHORAGE, AK 99508
(907) 261-5304
(907) 561-1416
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
368LPC
AK
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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