| Lifeologist Wellness & Educational Consultant | |
|
815 2nd Ave Ste 112 Fairbanks AK 99701-4469 | |
| (907) 378-5009 | |
| Not Available |
| Full Name | Lifeologist Wellness & Educational Consultant |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 815 2nd Ave Ste 112, Fairbanks, Alaska |
| Authorized Official Name and Position | Yolanda Easaw-favor (OWNER) |
| Authorized Official Contact | 9073785009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeologist Wellness & Educational Consultant Po Box 58450 Fairbanks AK 99711-0450 Ph: (907) 378-5009 | Lifeologist Wellness & Educational Consultant 815 2nd Ave Ste 112 Fairbanks AK 99701-4469 Ph: (907) 378-5009 |
| NPI Number | 1063155422 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Certification Date | 04/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063155422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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