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 |
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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 |
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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 |
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Provider Enumeration Date | 11/15/2023 |
Last Update Date | 11/15/2023 |
Certification Date | 11/15/2023 |
Medicare PECOS PAC ID | 7214378801 |
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Medicare Enrollment ID | O20240514002020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700651148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Emily Low |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1326674706 PECOS PAC ID: 6608216551 Enrollment ID: I20240502000496 |
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