Stacie Lynn Braband, | |
3550 Airport Way, Fairbanks, AK 99709-4772 | |
(907) 479-2331 | |
Not Available |
Full Name | Stacie Lynn Braband |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3550 Airport Way, Fairbanks, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689270498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 204008 (Alaska) | Primary |
Entity Name | Counseling Collective Of Alaska Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649974999 PECOS PAC ID: 3971943820 Enrollment ID: O20240425003711 |
Mailing Address | Practice Location Address |
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Stacie Lynn Braband, Po Box 750292, Fairbanks, AK 99775-0292 Ph: () - | Stacie Lynn Braband, 3550 Airport Way, Fairbanks, AK 99709-4772 Ph: (907) 479-2331 |
Ms. Lynn Roberta Harrison, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3504 Industrial, Fairbanks, AK 99701 Phone: 907-479-8450 | |
Mr. Robert Mitchell Rickson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 | |
Ms. Pauline Lian, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 Fax: 907-455-1460 | |
Tammy Sue Korb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 | |
Susan E Stanton, PLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 University Ave, Fairbanks, AK 99709 Phone: 907-347-2160 | |
John Duncan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 Marika Rd, Fairbanks, AK 99709 Phone: 907-474-0890 Fax: 907-474-3621 | |
Danielle Burke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 5th Ave, Fairbanks, AK 99701 Phone: 907-374-7776 |