Organization
ALYESKA COUNSELING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMITO JO OWEN LPC-S (DIRECTOR)
(907) 782-4553
Entity
Organization
Contact information
Practice address
701 W 41ST AVE, SUITE #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
926414
AK
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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