Provider Demographics
NPI:1194857326
Name:DANHAUSER, JENNIFER ANN (LPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:DANHAUSER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:565 UNIVERSITY AVE.
Mailing Address - Street 2:STE. #4
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709
Mailing Address - Country:US
Mailing Address - Phone:907-978-4978
Mailing Address - Fax:800-881-6187
Practice Address - Street 1:565 UNIVERSITY AVE.
Practice Address - Street 2:STE. #4
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-3688
Practice Address - Country:US
Practice Address - Phone:907-978-4978
Practice Address - Fax:800-881-6187
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK374101Y00000X
AK874101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor