Provider Demographics
NPI:1801347588
Name:STERLE, ANN M (LPC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:STERLE
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 70512
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99707-0512
Mailing Address - Country:US
Mailing Address - Phone:907-347-6900
Mailing Address - Fax:907-519-0558
Practice Address - Street 1:1929 AIRPORT WAY STE B
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4009
Practice Address - Country:US
Practice Address - Phone:907-347-6900
Practice Address - Fax:907-917-4887
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK123524101Y00000X, 101YP2500X
AK3974101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)