# FAIRBANKS COMMUNITY MENTAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265581425
- **Authorized official:** GAIL ATCHISON (DIRECTOR)
- **Authorized official phone:** (907) 452-1575

## Contact information

- **Practice address:** 3830 SOUTH CUSHMAN STREET, FAIRBANKS, AK 99701
- **Practice address phone:** (907) 452-1575
- **Mailing address:** 3830 SOUTH CUSHMAN STREET, FAIRBANKS, AK 99701
- **Mailing address phone:** (907) 452-1575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 68067 | AK | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 04/02/2009