Individual provider · Type 1 NPI

Gina Pruce, MA

Mental Health Counselor · Fairbanks, AK

NPI number 1720319015 Active

Practice location

3101 Lathrop St
Fairbanks, AK 99701-7426

Call (907) 459-4700 Map

Fax (907) 459-4796

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1720319015

Gina Pruce, MA's National Provider Identifier is 1720319015, issued on Jan 26, 2010. 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 26, 2010.