Individual
KATHLEEN EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1276 BELUGA CT, HOMER, AK 99603-7730
(907) 435-7823
Mailing address
1276 BELUGA CT, HOMER, AK 99603-7730
(907) 435-7823
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
113119
AK
Other
Enumeration date
09/29/2016
Last updated
05/28/2021
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