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Individual

MRS. DEBRA ANN TOLLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CDCI

Contact information

Practice address
4050 LAKE OTIS PKWY, STE. 103, ANCHORAGE, AK 99508-5223
(907) 317-6306
Mailing address
4050 LAKE OTIS PKWY, STE. 103, ANCHORAGE, AK 99508-5223
(907) 317-6306

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
PCOP823
AK
101YA0400X
Addiction (Substance Use Disorder) Counselor
PCOP823
AK
101YM0800X
Mental Health Counselor
PCOP823
AK
101YP2500X
Professional Counselor
Primary
PCOP823
AK

Other

Enumeration date
11/15/2012
Last updated
05/12/2016
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