Individual provider · Type 1 NPI

Nadine Rose Captain

Mental Health Counselor · Fairbanks, AK

NPI number 1376815316 Active

Practice location

110 2nd Ave
Fairbanks, AK 99701-4809

Fax (907) 452-7942

Mailing address

4783 Princeton Dr
Fairbanks, AK 99709-3216

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376815316

Nadine Rose Captain's National Provider Identifier is 1376815316, issued on Feb 7, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Feb 20, 2012.