Fairbanks Somatic Therapy And Wellness Llc | |
250 Cushman St Ste 4e Fairbanks AK 99701-4665 | |
(907) 371-5359 | |
Not Available |
Full Name | Fairbanks Somatic Therapy And Wellness Llc |
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Speciality | Counselor - Professional |
Location | 250 Cushman St Ste 4e, Fairbanks, Alaska |
Authorized Official Name and Position | Brighton Brooks (MANAGER AND MEMBER) |
Authorized Official Contact | 9076874194 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fairbanks Somatic Therapy And Wellness Llc 1210 Yunana Ct Fairbanks AK 99701-1426 Ph: (907) 687-4194 | Fairbanks Somatic Therapy And Wellness Llc 250 Cushman St Ste 4e Fairbanks AK 99701-4665 Ph: (907) 371-5359 |
NPI Number | 1003630872 |
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Provider Enumeration Date | 11/08/2024 |
Last Update Date | 11/08/2024 |
Certification Date | 11/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003630872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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