| Pearl Creek Counseling & Consulting, Llc | |
|
3550 Airport Way Ste 4 Fairbanks AK 99709-4772 | |
| (907) 531-5991 | |
| Not Available |
| Full Name | Pearl Creek Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3550 Airport Way Ste 4, Fairbanks, Alaska |
| Authorized Official Name and Position | Emily Low (OWNER) |
| Authorized Official Contact | 9075315991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Creek Counseling & Consulting, Llc 3875 Geist Rd Ste E-149 Fairbanks AK 99709-3564 Ph: () - | Pearl Creek Counseling & Consulting, Llc 3550 Airport Way Ste 4 Fairbanks AK 99709-4772 Ph: (907) 531-5991 |
| NPI Number | 1700651148 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 7214378801 |
|---|---|
| Medicare Enrollment ID | O20240514002020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700651148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Emily Low |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326674706 PECOS PAC ID: 6608216551 Enrollment ID: I20240502000496 |
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