Individual provider · Type 1 NPI

Phelicia Wazny

Mental Health Counselor · Fairbanks, AK

NPI number 1508419284 Active

Practice location

209 Forty Mile Avenue
Fairbanks, AK 99701-3110

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1508419284

Phelicia Wazny's National Provider Identifier is 1508419284, issued on Jul 22, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Jan 13, 2023.