Provider Demographics
NPI:1558197962
Name:ROWLEY-SIPPLE, LORETTA (LPC-S)
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:
Last Name:ROWLEY-SIPPLE
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 RUDAKOF CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-3106
Mailing Address - Country:US
Mailing Address - Phone:907-646-0707
Mailing Address - Fax:
Practice Address - Street 1:1410 RUDAKOF CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-3106
Practice Address - Country:US
Practice Address - Phone:907-646-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK118973101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional