| Kintsugi Counseling Llc | |
|
1867 Airport Way Ste 225 Fairbanks AK 99701-4062 | |
| (907) 474-0059 | |
| Not Available |
| Full Name | Kintsugi Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1867 Airport Way Ste 225, Fairbanks, Alaska |
| Authorized Official Name and Position | Virginia Redmond (CO-OWNER) |
| Authorized Official Contact | 9074740059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kintsugi Counseling Llc 1867 Airport Way Ste 225 Fairbanks AK 99701-4062 Ph: () - | Kintsugi Counseling Llc 1867 Airport Way Ste 225 Fairbanks AK 99701-4062 Ph: (907) 474-0059 |
| NPI Number | 1306586961 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306586961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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