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SHARON ANN LAKE LPC

>> Specialist >> Other Service Providers

Registrant NPI Number: 1326193079

Individual Registrant:
 SHARON ANN LAKE LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2509 EIDE ST.  ANCHORAGE, AK 99503 US
Tel: 907-244-8872  Fax: 907-563-3217

Contact information for business:
8230 KIP CT.  ANCHORAGE, AK 99507-3245 US
Tel: 907-244-8872  Fax: 907-563-3217

Registration Information:
NPI: 1326193079
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N174400000XOther Service Providers
Specialist
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
AK614

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PENDINGAK05




HEALTH CARE JOBS AK - Page 1



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