Individual provider · Type 1 NPI

Theodora Nastasia Sipary, BHA

Mental Health Counselor · Fairbanks, AK

NPI number 1255261608 Active

Practice location

2550 Lawlor Rd
Fairbanks, AK 99709-6458

Mailing address

122 1st Ave Ste 400
Fairbanks, AK 99701-4871

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255261608

Theodora Nastasia Sipary, BHA's National Provider Identifier is 1255261608, issued on May 19, 2026. 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 19, 2026.