Individual provider · Type 1 NPI

Brian Wallace Smith, MA

Mental Health Counselor · Fairbanks, AK

NPI number 1205127735 Active

Practice location

3830 S Cushman St
Fairbanks, AK 99701-7530

Call (907) 455-1416 Map

Fax (907) 455-1460

Mailing address

1300 Garay St
Fairbanks, AK 99709-3169

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205127735

Brian Wallace Smith, MA's National Provider Identifier is 1205127735, issued on May 2, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on May 2, 2011.