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Phillip R Lazenby
Professional Counselor in Soldotna, Alaska
NPI 1912565540

Phillip R Lazenby is a Professional Counselor based in Soldotna, AK and is specialized in Professional. Phillip R Lazenby practices in Soldotna, AK. The NPI Number for Phillip R Lazenby is 1912565540 and holds a License No. 132467 (Alaska).

The current practice location address for Phillip R Lazenby is 245 N Binkley St, Soldotna, AK and can be reached out via phone at 907-714-4521 and via fax at 907-260-4063.

Location: 245 N Binkley St, Soldotna, AK, 99669-2127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912565540
Provider Name
Phillip R Lazenby
Credential
Provider Entity Type
Individual
Gender
Male
Address
245 N Binkley St, Soldotna, AK, 99669-2127
Phone Number
907-714-4521
Fax Number
907-260-4063
Provider Enumeration Date
05/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
245 N Binkley St
City
Soldotna
State
Alaska
Zip
99669-7500
Phone Number
907-714-4521
Fax Number
907-260-4063
person
Provider Business Mailing Address Details
Address
245 N Binkley St
City
Soldotna
State
Alaska
Zip
99669-7500
Phone Number
907-714-4521
Fax Number
907-260-4063
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
132467 (Alaska)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
132467 (Alaska)
Definition
Definition to come...
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