Provider Demographics
NPI:1639259427
Name:PRIEST, MARIE APRIL MAHAN (MS LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:APRIL MAHAN
Last Name:PRIEST
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:MRS
Other - First Name:MARIE
Other - Middle Name:APRIL
Other - Last Name:MAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 DENALI
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2740
Mailing Address - Country:US
Mailing Address - Phone:907-272-4407
Mailing Address - Fax:907-272-4463
Practice Address - Street 1:2600 DENALI
Practice Address - Street 2:SUITE 302
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2740
Practice Address - Country:US
Practice Address - Phone:907-272-4407
Practice Address - Fax:907-272-4463
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA481101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor