Healthcare Provider Details

I. General information

NPI: 1487989117
Provider Name (Legal Business Name): LILLI ANN OHSE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX L
SELDOVIA AK
99663-0250
US

IV. Provider business mailing address

PO BOX L
SELDOVIA AK
99663-0250
US

V. Phone/Fax

Practice location:
  • Phone: 907-234-7898
  • Fax: 907-234-7865
Mailing address:
  • Phone: 907-234-7898
  • Fax: 907-234-7865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number347
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: