Individual
JAN E. PRIDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1825 ACADEMY DR, ANCHORAGE, AK 99507-5391
(907) 522-7080
(907) 522-7088
Mailing address
3801 GARDNER ST # A, ANCHORAGE, AK 99508-4965
(907) 301-4067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
479
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
479
ALASKA STATE LICENSE
AK
Enumeration date
11/01/2006
Last updated
07/08/2007
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