Individual
MICHELE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
230 E MARYDALE AVE, SOLDOTNA, AK 99669-7648
(907) 260-3691
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
125657
AS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125657
PROFESSIONAL LICENSE
AK
Enumeration date
11/28/2017
Last updated
11/28/2017
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