Organization
FOUNDATIONS FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOAH SHIELDS LPC (DIRECTOR)
(907) 252-9082
Entity
Organization
Contact information
Practice address
35251 KENAI SPUR HWY STE C, SOLDOTNA, AK 99669-7623
(907) 252-9082
Mailing address
PO BOX 1424, SOLDOTNA, AK 99669-1424
(907) 252-9082
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
798
AK
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/05/2010
Last updated
05/07/2013
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