Organization
FAIRBANKS SOMATIC THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGHTON BROOKS LPC (MANAGER AND MEMBER)
(907) 687-4194
Entity
Organization
Contact information
Practice address
250 CUSHMAN ST STE 4E, FAIRBANKS, AK 99701-4665
(907) 371-5359
Mailing address
1210 YUNANA CT, FAIRBANKS, AK 99701-1426
(907) 687-4194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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