Provider Demographics
NPI:1487989117
Name:OHSE, LILLI ANN (LPC)
Entity type:Individual
Prefix:
First Name:LILLI
Middle Name:ANN
Last Name:OHSE
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:PO BOX L
Mailing Address - Street 2:
Mailing Address - City:SELDOVIA
Mailing Address - State:AK
Mailing Address - Zip Code:99663-0250
Mailing Address - Country:US
Mailing Address - Phone:907-234-7898
Mailing Address - Fax:907-234-7865
Practice Address - Street 1:PO BOX L
Practice Address - Street 2:
Practice Address - City:SELDOVIA
Practice Address - State:AK
Practice Address - Zip Code:99663-0250
Practice Address - Country:US
Practice Address - Phone:907-234-7898
Practice Address - Fax:907-234-7865
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK347101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1336178847Medicaid