Provider Demographics
NPI:1588684633
Name:HENRY, ANNE LIZABETH (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:LIZABETH
Last Name:HENRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2739 E 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-3209
Mailing Address - Country:US
Mailing Address - Phone:907-272-0824
Mailing Address - Fax:907-272-0817
Practice Address - Street 1:2739 E 17TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-3209
Practice Address - Country:US
Practice Address - Phone:907-272-0824
Practice Address - Fax:907-272-0817
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional