| Nardella Counseling Llc | |
|
2935 S Kobuk Ave Fairbanks AK 99709-5127 | |
| (907) 699-7907 | |
| Not Available |
| Full Name | Nardella Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2935 S Kobuk Ave, Fairbanks, Alaska |
| Authorized Official Name and Position | Erica Nardella (CEO) |
| Authorized Official Contact | 9076997907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nardella Counseling Llc 2935 S Kobuk Ave Fairbanks AK 99709-5127 Ph: (907) 699-7907 | Nardella Counseling Llc 2935 S Kobuk Ave Fairbanks AK 99709-5127 Ph: (907) 699-7907 |
| NPI Number | 1962258335 |
|---|---|
| Provider Enumeration Date | 04/26/2024 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 2860935160 |
|---|---|
| Medicare Enrollment ID | O20240614001778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962258335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Erica Lynn Nardella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881235851 PECOS PAC ID: 4688117989 Enrollment ID: I20240614001861 |
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