Individual
ELIZABETH ASHLEY DIVINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAADC, NCC
Contact information
Practice address
733 2ND AVENUE, KOTZEBUE, AK 99752
(907) 442-7612
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6451022135
MI
101Y00000X
Counselor
Primary
—
AK
Other
Enumeration date
03/07/2022
Last updated
09/21/2023
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