| Uncommon Therapy | |
|
250 Cushman St Ste 2g Fairbanks AK 99701-4665 | |
| (907) 388-8963 | |
| (907) 374-1013 |
| Full Name | Uncommon Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 250 Cushman St, Fairbanks, Alaska |
| Authorized Official Name and Position | Lawrence A Moen (PRESIDENT) |
| Authorized Official Contact | 9073888963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uncommon Therapy Po Box 71182 Fairbanks AK 99707-1182 Ph: (907) 388-8963 | Uncommon Therapy 250 Cushman St Ste 2g Fairbanks AK 99701-4665 Ph: (907) 388-8963 |
| NPI Number | 1215314307 |
|---|---|
| Provider Enumeration Date | 04/28/2015 |
| Last Update Date | 04/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215314307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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