Individual
RITA SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-2500
Mailing address
4201 TUDOR CENTRE DR STE 320, ANCHORAGE, AK 99508-5916
(907) 729-2500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
430
AK
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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