| Renew Counseling And Wellness Llc | |
|
1295 Jacquelyn Ln North Pole AK 99705-5625 | |
| (907) 888-5961 | |
| Not Available |
| Full Name | Renew Counseling And Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1295 Jacquelyn Ln, North Pole, Alaska |
| Authorized Official Name and Position | Beth Esparza (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 9074598200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Counseling And Wellness Llc 909 Cushman St Ste 206 Fairbanks AK 99701-4668 Ph: (907) 459-8200 | Renew Counseling And Wellness Llc 1295 Jacquelyn Ln North Pole AK 99705-5625 Ph: (907) 888-5961 |
| NPI Number | 1376379768 |
|---|---|
| Provider Enumeration Date | 09/11/2024 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376379768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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