Organization
ALASKA ADVANCED BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRICK FULLER LCSW (OWNER)
(231) 388-5344
Entity
Organization
Contact information
Practice address
203 WEST E ST, NOME, AK 99762
(231) 388-5344
Mailing address
PO BOX 262, NOME, AK 99762-0262
(231) 388-5344
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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