| Bessie Green Lcsw, Llc | |
|
250 Cushman St Ste 2g Fairbanks AK 99701-4665 | |
| (907) 251-5775 | |
| Not Available |
| Full Name | Bessie Green Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 250 Cushman St Ste 2g, Fairbanks, Alaska |
| Authorized Official Name and Position | Elizabeth Green (CLINICIAN, SOLE MEMBER OF LLC) |
| Authorized Official Contact | 9072515775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bessie Green Lcsw, Llc 250 Cushman St Ste 2g Fairbanks AK 99701-4665 Ph: (907) 251-5775 | Bessie Green Lcsw, Llc 250 Cushman St Ste 2g Fairbanks AK 99701-4665 Ph: (907) 251-5775 |
| NPI Number | 1154009777 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154009777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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