Provider Demographics
NPI:1508170267
Name:O'DONNELL, ALISON (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:
Last Name:O'DONNELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 CORDOVA ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-7243
Mailing Address - Country:US
Mailing Address - Phone:907-562-2008
Mailing Address - Fax:
Practice Address - Street 1:5100 CORDOVA ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-7243
Practice Address - Country:US
Practice Address - Phone:907-562-2008
Practice Address - Fax:907-562-2009
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator