Individual
DANIELLE LEE SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15765 KINGSLEY RD, NINILCHIK, AK 99639-9759
(907) 567-3370
(907) 567-3310
Mailing address
PO BOX 39244, NINILCHIK, AK 99639-0244
(907) 299-6269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
229408
AK
Other
Enumeration date
10/14/2024
Last updated
11/20/2024
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