Healthcare Provider Details

I. General information

NPI: 1144681750
Provider Name (Legal Business Name): ANN CONDUCY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 01/09/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 A ST
ANCHORAGE AK
99501
US

IV. Provider business mailing address

4501 DIPLOMACY DRIVE
ANCHORAGE AK
99508
US

V. Phone/Fax

Practice location:
  • Phone: 907-729-6552
  • Fax:
Mailing address:
  • Phone: 907-729-4955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61576673
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number137962
License Number StateAK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: