Individual provider · Type 1 NPI

Ellen-Rose Terese Graeca

Mental Health Counselor · Fairbanks, AK

NPI number 1629369533 Active

Practice location

3830 S Cushman St
Fairbanks, AK 99701-7530

Call (907) 455-5304 Map

Fax (907) 455-1460

Mailing address

715 24th Ave
Fairbanks, AK 99701-7003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629369533

Ellen-Rose Terese Graeca's National Provider Identifier is 1629369533, issued on Apr 26, 2011. 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 17, 2012.