| Family Centered Services Of Alaska | |
|
1825 Marika Rd Fairbanks Fairbanks AK 99709-5521 | |
| (907) 474-0890 | |
| Not Available |
| Full Name | Family Centered Services Of Alaska |
|---|---|
| Speciality | Counselor |
| Location | 1825 Marika Rd, Fairbanks, Alaska |
| Authorized Official Name and Position | Angelie Marie Lara (YOUTH COUNSELOR) |
| Authorized Official Contact | 9157315160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Centered Services Of Alaska 1825 Marika Rd Fairbanks Fairbanks AK 99709-5521 Ph: (907) 474-0890 | Family Centered Services Of Alaska 1825 Marika Rd Fairbanks Fairbanks AK 99709-5521 Ph: (907) 474-0890 |
| NPI Number | 1124445762 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 03/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124445762 | NPI | - | NPPES |
| MH3237 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 10Y00000X (Alaska) | Primary |
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