Provider Demographics
NPI:1669102216
Name:NIEDERER, ARIELLE JOANNA (MSCP, LPC)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:JOANNA
Last Name:NIEDERER
Suffix:
Gender:F
Credentials:MSCP, LPC
Other - Prefix:
Other - First Name:ARIELLE
Other - Middle Name:JOANNA
Other - Last Name:ZARR-NOREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCP
Mailing Address - Street 1:7033 E TUDOR RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1262
Mailing Address - Country:US
Mailing Address - Phone:907-729-7280
Mailing Address - Fax:907-729-8607
Practice Address - Street 1:999 E TUDOR RD STE 100
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-6123
Practice Address - Country:US
Practice Address - Phone:907-729-7280
Practice Address - Fax:907-729-8607
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK188654101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional