Individual
MR. CLARENCE ALLAN PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 2ND AVE, FAIRBANKS, AK 99701-4809
(907) 452-7946
(907) 452-7942
Mailing address
5173 PALO VERDE AVE, FAIRBANKS, AK 99709-3130
(907) 378-8161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0157
—
AK
Enumeration date
02/06/2012
Last updated
02/20/2012
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