| Winter Moon Child & Family Counseling Llc | |
|
516 2nd Ave Ste 211 Fairbanks AK 99701-4739 | |
| (907) 750-2540 | |
| Not Available |
| Full Name | Winter Moon Child & Family Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 516 2nd Ave Ste 211, Fairbanks, Alaska |
| Authorized Official Name and Position | Emily Matthew (OWNER) |
| Authorized Official Contact | 9077502540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winter Moon Child & Family Counseling Llc 607 Old Steese Highway Suite B #222 Fairbanks AK 99701 Ph: (907) 750-2540 | Winter Moon Child & Family Counseling Llc 516 2nd Ave Ste 211 Fairbanks AK 99701-4739 Ph: (907) 750-2540 |
| NPI Number | 1790519023 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790519023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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