Individual
LACHELLE FONIQUE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
Mailing address
315 WENDELL AVE, FAIRBANKS, AK 99701-4837
(907) 452-6251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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