Individual
ERIK EDENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 BIDWILL AVE STE 103, FAIRBANKS, AK 99701-7587
(907) 452-1648
Mailing address
425 MCKINLEY VIEW DR, FAIRBANKS, AK 99712-1329
(907) 306-6186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2011
Last updated
03/22/2022
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