Individual
DAMITO JO OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
701 W 41ST AVE STE 104, ANCHORAGE, AK 99503-6604
(907) 782-4553
Mailing address
PO BOX 230795, ANCHORAGE, AK 99523-0795
(907) 782-4553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC 791
AK
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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