| Spring Tide Counseling, Llc | |
|
600 University Ave Fairbanks AK 99709-3660 | |
| (907) 415-4727 | |
| Not Available |
| Full Name | Spring Tide Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 University Ave, Fairbanks, Alaska |
| Authorized Official Name and Position | Sarah Jensen (OWNER/PRESIDENT) |
| Authorized Official Contact | 9074154727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Tide Counseling, Llc Po Box 81251 Fairbanks AK 99708-1251 Ph: () - | Spring Tide Counseling, Llc 600 University Ave Fairbanks AK 99709-3660 Ph: (907) 415-4727 |
| NPI Number | 1225860612 |
|---|---|
| Provider Enumeration Date | 08/15/2024 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225860612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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