LORRI ANN VAN DIEST LPC
NPI 1962092122
Counselor - Professional in Palmer, AK
Active since January 21, 2021
About Lorri Ann Van Diest Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORRI ANN VAN DIEST LPC (NPI 1962092122) is an individual professional provider in Palmer, Alaska, licensed in Alaska (PCOP87) and active in the NPI registry since January 2021.
NPPES Registry Identity
NPI1962092122
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLORRI ANN VAN DIESTCredential: LPC
Location Address2995 N MOUNTAIN TRAIL CIRPalmer, AK 99645-8749
Mailing Address2995 N Mountain Trail CirPalmer, AK 99645-8749 · (907) 775-0223
Phone(907) 775-0223
Sole ProprietorYes
Enumeration DateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1962092122 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AK · PCOP87
2995 N MOUNTAIN TRAIL CIR, Palmer, AK 99645
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962092122, enumerated as an "individual" on January 21, 2021.
The provider is located at 2995 N MOUNTAIN TRAIL CIR PALMER, AK 99645 and the phone number is (907) 775-0223.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
