Individual provider · Type 1 NPI

Kim Dertinger

Counselor · Fairbanks, AK

NPI number 1427374248 Active

Practice location

3830 S Cushman St
Fairbanks, AK 99701-7530

Call (907) 452-1575 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1427374248

Kim Dertinger's National Provider Identifier is 1427374248, issued on Apr 19, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fairbanks, AK. The record was last updated on Apr 19, 2010.