| Interior Alaska Dbt & Counseling, Llc | |
|
565 University Ave Ste 4 Fairbanks AK 99709-3688 | |
| (907) 712-7667 | |
| (907) 202-8341 |
| Full Name | Interior Alaska Dbt & Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 565 University Ave Ste 4, Fairbanks, Alaska |
| Authorized Official Name and Position | John M Worrall (PSYCHOLOGIST) |
| Authorized Official Contact | 9077127667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interior Alaska Dbt & Counseling, Llc Po Box 70485 Fairbanks AK 99707-0485 Ph: (907) 712-7667 | Interior Alaska Dbt & Counseling, Llc 565 University Ave Ste 4 Fairbanks AK 99709-3688 Ph: (907) 712-7667 |
| NPI Number | 1467044123 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467044123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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