Siena Counseling, Llc | |
2775 Mack Blvd Fairbanks AK 99709-4004 | |
(907) 251-7664 | |
(907) 459-8201 |
Full Name | Siena Counseling, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2775 Mack Blvd, Fairbanks, Alaska |
Authorized Official Name and Position | Mariel Mitchell Ott Gebhardt (OWNER) |
Authorized Official Contact | 9072517664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Siena Counseling, Llc Po Box 80355 Fairbanks AK 99708-0355 Ph: (907) 251-7664 | Siena Counseling, Llc 2775 Mack Blvd Fairbanks AK 99709-4004 Ph: (907) 251-7664 |
NPI Number | 1851854798 |
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Provider Enumeration Date | 04/08/2019 |
Last Update Date | 06/13/2022 |
Certification Date | 06/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851854798 | NPI | - | NPPES |
1770734857 | Other | AK | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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