Individual
MS. LYNN ROBERTA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
3504 INDUSTRIAL, FAIRBANKS, AK 99701
(907) 479-8450
Mailing address
PO BOX 74083, FAIRBANKS, AK 99707-4083
(907) 479-8450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDC I
AK
101YM0800X
Mental Health Counselor
MH 2389
FL
106H00000X
Marriage & Family Therapist
Primary
MFT M 193
AK
Other
Enumeration date
05/15/2007
Last updated
07/10/2015
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