Organization
THERAPY DISTINCT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSA DORMAN LCSW (SOLE MEMBER)
(907) 231-6151
Entity
Organization
Contact information
Practice address
4786 N SANDRA J CIR, PALMER, AK 99645-7912
(907) 231-6151
Mailing address
4786 N SANDRA J CIR, PALMER, AK 99645-7912
(907) 231-6151
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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