Headwaters Wellness And Counseling Llc | |
250 Cushman St Suite 4j Fairbanks AK 99701-4665 | |
(907) 456-2256 | |
(907) 456-2260 |
Full Name | Headwaters Wellness And Counseling Llc |
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Speciality | Counselor - Professional |
Location | 250 Cushman St, Fairbanks, Alaska |
Authorized Official Name and Position | Liz Pawelko (OWNER) |
Authorized Official Contact | 9074562256 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Headwaters Wellness And Counseling Llc 250 Cushman St Ste 5 Fairbanks AK 99701-4665 Ph: (907) 456-2256 | Headwaters Wellness And Counseling Llc 250 Cushman St Suite 4j Fairbanks AK 99701-4665 Ph: (907) 456-2256 |
NPI Number | 1962945709 |
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Provider Enumeration Date | 11/28/2016 |
Last Update Date | 12/11/2017 |
Identifier | Type | State | Issuer |
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1962945709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PCOC613 (Alaska) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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