Individual
LORRI ANN VAN DIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2995 N MOUNTAIN TRAIL CIR, PALMER, AK 99645-8749
(907) 775-0223
Mailing address
2995 N MOUNTAIN TRAIL CIR, PALMER, AK 99645-8749
(907) 775-0223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCOP87
AK
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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