Organization · Type 2 NPI

Headwaters Wellness and Counseling LLC

Professional Counselor · Fairbanks, AK

NPI number 1962945709 Active

Practice location

250 Cushman St, Suite 4J
Fairbanks, AK 99701-4665

Call (907) 456-2256 Map

Fax (907) 456-2260

Mailing address

250 Cushman St Ste 5
Fairbanks, AK 99701-4665

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPCOC613 (AK)
Adult Mental Health Clinic/Center 261QM0850XNone listed

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About NPI 1962945709

Headwaters Wellness and Counseling LLC's National Provider Identifier is 1962945709, issued on Nov 28, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairbanks, AK. The record was last updated on Dec 11, 2017.