| Fairbanks Center For Couple And Family Therapy | |
|
516 2nd Ave Ste 210 Fairbanks AK 99701-4738 | |
| (907) 931-9919 | |
| (907) 931-9919 |
| Full Name | Fairbanks Center For Couple And Family Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 516 2nd Ave Ste 210, Fairbanks, Alaska |
| Authorized Official Name and Position | Regina L Davis (CEO) |
| Authorized Official Contact | 9076871637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Center For Couple And Family Therapy 516 2nd Ave Ste 210 Fairbanks AK 99701-4738 Ph: (907) 931-9919 | Fairbanks Center For Couple And Family Therapy 516 2nd Ave Ste 210 Fairbanks AK 99701-4738 Ph: (907) 931-9919 |
| NPI Number | 1649967365 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649967365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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