Individual
MS. PYPER MARIE THALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3470 TONGASS BLVD., JUNEAU, AK 99801
(360) 214-2155
Mailing address
PO BOX 1094, LONG BEACH, WA 98631
(360) 214-2125
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60209887
WA
Other
Enumeration date
03/02/2010
Last updated
04/10/2023
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