Provider Demographics
NPI:1770867574
Name:LORIAN, ALEXANDRA J (LPC)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:J
Last Name:LORIAN
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 1:207 E NORTHERN LIGHTS BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2731
Mailing Address - Country:US
Mailing Address - Phone:907-222-1819
Mailing Address - Fax:
Practice Address - Street 1:207 E NORTHERN LIGHTS BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2731
Practice Address - Country:US
Practice Address - Phone:907-222-1819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK651101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional