| Fairbanks Counseling Associates, Llc | |
|
250 Cushman St Ste 4f Fairbanks AK 99701-4640 | |
| (907) 451-1800 | |
| (907) 451-3755 |
| Full Name | Fairbanks Counseling Associates, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 250 Cushman St, Fairbanks, Alaska |
| Authorized Official Name and Position | Sheila D. Smith (DIRECTOR) |
| Authorized Official Contact | 9074511800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairbanks Counseling Associates, Llc 250 Cushman St Ste 4f Fairbanks AK 99701-4640 Ph: (907) 451-1800 | Fairbanks Counseling Associates, Llc 250 Cushman St Ste 4f Fairbanks AK 99701-4640 Ph: (907) 451-1800 |
| NPI Number | 1518387612 |
|---|---|
| Provider Enumeration Date | 04/16/2014 |
| Last Update Date | 06/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518387612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 904 (Alaska) | Primary |
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