| Alaskan Roots Counseling Llc | |
|
43335 Kbeach Rd Bldg D Suite 16b Soldotna AK 99669 | |
| (907) 290-5540 | |
| (907) 313-2851 |
| Full Name | Alaskan Roots Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 43335 Kbeach Rd, Soldotna, Alaska |
| Authorized Official Name and Position | Leslie Fazio (OWNER) |
| Authorized Official Contact | 9074600778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaskan Roots Counseling Llc Po Box 463 Kenai AK 99611-0463 Ph: (907) 460-0778 | Alaskan Roots Counseling Llc 43335 Kbeach Rd Bldg D Suite 16b Soldotna AK 99669 Ph: (907) 290-5540 |
| NPI Number | 1972385946 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972385946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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