Torrance Fishburn, MSW, LCSW | |
8012 Stewart Mountain Dr, Eagle River, AK 99577-9013 | |
(907) 694-3336 | |
Not Available |
Full Name | Torrance Fishburn |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 8012 Stewart Mountain Dr, Eagle River, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609347525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Southcentral Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
Mailing Address | Practice Location Address |
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Torrance Fishburn, MSW, LCSW 2600 Cordova St Ste 101, Anchorage, AK 99503-2745 Ph: () - | Torrance Fishburn, MSW, LCSW 8012 Stewart Mountain Dr, Eagle River, AK 99577-9013 Ph: (907) 694-3336 |
Ashley Klinger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Austin Didrickson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Mr. Sammie O'neal Iii, MA, CDC1 Counselor Medicare: Medicare Enrolled Practice Location: 12518 Crested Butte Dr, Eagle River, AK 99577 Phone: 907-406-3033 | |
Gina Thara Wall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17601 James Way, Eagle River, AK 99577 Phone: 907-854-2344 | |
Robin Forman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Kristin Stadsklev, CDC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-3336 | |
Adam Abdallah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8012 Stewart Mountain Dr, Eagle River, AK 99577 Phone: 907-694-8840 |