| Clearwater Counseling | |
|
122 10th Avenue Fairbanks AK 99701 | |
| (907) 457-6002 | |
| (907) 457-3610 |
| Full Name | Clearwater Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 122 10th Avenue, Fairbanks, Alaska |
| Authorized Official Name and Position | David B. Bates (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9074576002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Counseling Po Box 10337 Fairbanks AK 99710-0337 Ph: (907) 457-6002 | Clearwater Counseling 122 10th Avenue Fairbanks AK 99701 Ph: (907) 457-6002 |
| NPI Number | 1780822429 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 12/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780822429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 408 (Alaska) | Primary |
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