Individual provider · Type 1 NPI

Shyanne Mandy Kopanuk

Mental Health Counselor · Fairbanks, AK

NPI number 1508689092 Active

Practice location

1825 Marika Rd
Fairbanks, AK 99709-5521

Fax (907) 474-3261

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508689092

Shyanne Mandy Kopanuk's National Provider Identifier is 1508689092, issued on Nov 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Nov 4, 2024.