Organization · Type 2 NPI
Fairbanks Somatic Therapy and Wellness LLC
Professional Counselor · Fairbanks, AK
NPI number
1003630872
Active
Practice location
250 Cushman St Ste 4E
Fairbanks, AK 99701-4665
Mailing address
1210 Yunana Ct
Fairbanks, AK 99701-1426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1003630872
Fairbanks Somatic Therapy and Wellness LLC's National Provider Identifier is 1003630872, issued on Nov 8, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairbanks, AK. The record was last updated on Nov 8, 2024.